This involves removal of vitreous gel from the eye. It is a surgical procedure where small ports are created to introduce instruments into the eye and then the surgery performed with the aid of special lens which help in visualising the inner aspect of the eye.
Indications of vitrectomy:
- Non resolving vitreous haemorrhage (bleeding in the vitreous chamber)
- Tractional retinal detachment in eyes with diabetic retinopathy
- Retinal detachment with or without proliferative vitreoretinopathy
- Epiretinal Membranes (membranes over surface of retina)
- Macular Hole surgery
- Intraocular foreign body
- Complications following cataract surgery
Traditionally the surgery was performed using a 20 gauge instrument which needed the opening up of conjunctiva and then designing a 1.4 mm incision on the eye.
With rapid development in the instrumentation, smaller gauge instruments like 23 gauge, 25 gauge and 27 gauge are being used in order to minimise the trauma to the eye. Smaller gauge instruments also help in working very close to the retina with greater degree of safety. Moreover, the surgery with smaller gauge instruments is suture less. This results in quicker surgeries, lesser post operative inflammation, tissue scarring and more rapid healing of the wound. Advent of high speed cutters (5000 cuts per minute) has also resulted in greater precision in surgeries with features which improve the safety of the surgical procedure thereby increasing the quality of surgeries. At Neoretina, we perform microincision sutureless vitrectomy surgeries.
Vitrectomy is sometimes accompanied by procedures like sclera buckle placement in case of retinal detachment or trauma. Similarly, procedures like membrane peeling and LASER are adjuvant steps in vitrectomy. Air, gas, Silicone oil or heavy liquids may also be used during the surgery. Air or gas spontaneously gets absorbed in a few days after the procedure. It is advisable to avoid flights or travel to high altitude areas till the gas has been completely absorbed. Silicone oil when placed will need another surgery 3- 6months after the injection for their removal. When oil or gas are placed inside the eye after vitrectomy, post operative positioning usually in the prone position needs to be maintained for best results.
Sequelae of vitrectomy:
- Cataract formation
- Intraocular pressure elevation
- Rarely bleeding/infection might occur
The visual recovery after vitrectomy would depend on the extent of damage which might have occurred prior to the surgery and the ability of the eye to recover. The extent to which vision would improve would become apparent 4- 6 weeks after the surgery.
Our Hospital is equipped with Lumera OPMI microscope with resight wide angle viewing system for the best viewing experience for a retinal surgeon. We also have the constellation vitrectomy system from Alcon which provides high speed 9500 cuts per minute, precise cutting experience with a facility to maintain a stable IOP throughout the surgery preventing any possibility of globe collapse intraoperatively. This is an added safety feature which helps to prevent any untoward damage to the eye.
Vitrectomy surgery in progress
“I was highly impressed by the over all management of large number of patients properly guided and investigated very effectively. Staff at the reception and all management levels well trained and helpfully caring hardworking. My salute to all involved for starting proper management of large number of patients.”
“The staff was very much kind and the clinic setup was very beautiful. Very nicely managed. I definitely would like to recommmed this clinic to my near and dear ones. Thanks once again for taking care of me!”
“Excellent in all respects. Very clean and has well maintained toilets. The staff are very friendly and helpful. Overall extremely satisfying experience.”
“My dad had a retinal detachment which was found overnight and he had to undergo retinal detachment surgery (vitrectomy) within 7days. He flew down to Hyderabad and directly to Raja Ram Reddy. He suggested to go for surgery the very next day. It was a successful surgery and my dad got discharged in the evening. He is very cordial and really nice in speaking. He is calm cool minded. A perfect doctor to consult.”
“I'm very happy with the drs approach and very patiently examined I have great confidence in Dr reddy its been three years that I come to Dr reddy all the way from Kolkata wish we have doctors like him at Kolkata too.”
ANIL KUMAR AGARWAL
“Best..Wonderful clinic with very helpful staff and well experienced and caring doctors like Dr.Srinivas and Dr.R.R.Reddy... I took my father who is diabetic and heart patient also for his eye surgery and the doctors guided us v.nicely to take care of him b4 & after surgery and my father's eyes r perfect...mashallah...thanks to God and then the neoretina team...Well done...keep spreading the light of vision in the life of others too. ”
“I know her from since 3 years she diagnosed the retina detachment in my left eye and explained about the treatment. She works for NEORETINA eye care institute which is located in the nampally hyderabad. She clarifies each and every doubt of the patient patiently without any irritation. I mean some doctors gets irritated when the patient asks more questions but that's not the case with alka Rani madam. I suggest to all who are suffering from eye disorders to visit neoretina for timely treatment and speedy recovery.”
“Excellent attention to my eye problem doctor Abhilasha Baharani at Neo Retina Eye Care Institute was very cooperative she is very echo friendly clear voice n determined i will in sha Allah refer to all of my near n dear to visit her if any one having eye problems i appreciate thanks a lot.”
“Dr. Raja is one of the foremost experts in retina issues. He is very approachable at the same time gives you valuable advice.”