Vitrectomy for Diabetic Retinopathy – Vitreous Hemorrhage

Vitrectomy is the current standard technique for removal of blood within the eye. There are numerous conditions that can cause bleeding inside the eye, and by far the commonest is Proliferative Diabetic Retinopathy. The technique consists of creating 3 tiny holes on the sclera (white of the eye) through which 3 different instruments are put through. This allows for the removal of the vitreous gel and blood inside the eye. Once the blood has been removed from inside the eye, the cause of the bleeding is identified and treated. Scatter laser is then applied to the retina, causing the bleeding vessels to shrink and disappear. A bubble of air, gas or oil in then put in the eye to prevent bleeding in the immediate post-operative period. In the event that silicone oil is used, it is usually removed a few months later once the condition of the eye has stabilized.

After the surgery, drops are used routinely for a few weeks to reduce the inflammation in the eye. Regular checks after the operation are required to detect and treat any complications that may arise.