Retina — surgery

Vitrectomy, step by step

Vitrectomy is the standard operation for reaching the retina: the vitreous gel that fills the eye is removed in order to treat a membrane, a haemorrhage or a detachment. Everything goes through three micro-openings in the wall of the eye (the pars plana), with no large opening and without touching the crystalline lens. Follow the four steps.

Cross-section of the eye — surgical view

Steps of the vitrectomy Cross-section of the eye: three micro-openings at the pars plana, infusion, vitreous cutter, endo-illumination, membrane forceps, then filling of the cavity with gas. cornea lens retina vitreous

Vitrectomy takes place in the operating theatre, most often under local anaesthesia. Depending on the indication, at the end of the procedure the cavity is filled with fluid, a gas bubble or silicone oil; the vitreous gel that is removed does not re-form and is not missed by the eye.

Educational diagram — Dr Moïse Tourabaly, ophthalmologist. For information only; it does not replace an examination.