Vitrectomy, a technique with which you should go with eye

Written by: Dr. Juan Carlos Elvira Cruañes
Edited by: Top Doctors®

The doctor. Elvira, specialist of the ophthalmological clinic Oftalvist, explains what the procedure known as vitrectomy consists of, according to the doctor himself, a very effective but at the same time complicated treatment.


Vitreous surgery or vitrectomy is the surgical technique that consists of the approach of the posterior part of the eyeball, the retina and the vitreous. It is always performed under a surgical microscope , and usually with 3 access routes: one for the placement of the infusion system for the maintenance of constant eye pressure, and another used for the introduction of an endo-illumination probe. In general, we usually find a third way, in which a vitrectome or different instruments such as micropinzas or micro-scissors are introduced.

Vitrectomy is a technique that is performed if the patient has any of the following problems:

- Retina detachment

- Vitreous hemorrhage

- Macular hole

- Intraocular tumors

- Vitreomacular traction syndromes

Vitrectomy techniques

Almost always done by inserting trocars , you can use accessory lights called torpedoes or "chandeliers". We also use infusion of serum, sometimes intraocular air or buffer mixtures for the postoperative period. And so a host of techniques that can be used, taking into account that always fits the pathology of each patient individualizing each case.

We must know at all times that we are facing the most sensitive part of the eyeball. The main risks of the intervention are that the visual recovery is less than expected, a retinal detachment in the postoperative period, vitreous hemorrhages or postsurgical macular edema .

Indications after vitreous surgery

The indications to follow by the patient once subjected to vitrectomy, which will depend on the specific case and the pathology that caused it. As a general rule, the patient is recommended to rest. It is also given a specific guideline for topical and sometimes oral treatment.

At the beginning of the postoperative period, vision is usually poor, recovering gradually over time. The patient must go to the office if, having recovered his vision, he again has severe visual loss, a symptom that something is not going well again. This must follow in any case the specific recommendations provided by the ophthalmologist.

*Translated with Google translator. We apologize for any imperfection

By Dr. Juan Carlos Elvira Cruañes

Dr. Juan Carlos Elvira Cruañes is a specialist in Ophthalmology with extensive professional experience. He is an expert in Anterior Polar Surgery, Cataracts and Glaucoma. Since 2001, he has been Head of the Ophthalmology Service at the Hospital del Vinalopó (Elche) and is a specialist in Oftalvist Alicante. He has also been part of the Ophthalmology service of Hospital de San Juan (Alicante), years 1995-2001 and in the Ophthalmology service General University Hospital of Elche (Alicante), years 2001-2010. Regarding training, he graduated in Medicine and Surgery from the Faculty of Medicine of Alicante, with Extraordinary Award of Degree, he got his PhD in Medicine with Apt cum Laude: Title of the Doctoral Thesis: "Loss of endothelial cells after phacoemulsification surgery". Finally, it has the publication of the chapter on Technique of iris sutured lenses. Speaker of the Secoir year 2013, referring to complicated Techniques of the previous segment.

*Translated with Google translator. We apologize for any imperfection

View Profile

Overall assessment of their patients

TOPDOCTORS utiliza cookies propias y de terceros para facilitar su experiencia como usuario de nuestra web y captar datos estadísticos mediante el análisis de sus datos de navegación. Si usted continúa con la navegación, entendemos que nos ofrece su consentimiento para el uso de cookies. Puede cambiar la configuración de cookies u obtener más información here.