Vitrectomy

Indications   Contraindications   Proceedings   Advantages Clinic   Prices

Vitrectomy (vitreum – vitreous body, ectome - cut, delete) - ophthalmologic surgery of partial or complete removal of the changed vitreous body.

This intervention helps to restore the transparency of the vitreous body and eliminate tension in the tissues of the retina area in order to prevent its detachment.

The operation requires special microsurgical equipment, the intervention is performed by vitreoretinal surgeon.

Indications for vitrectomy

There is a number of pathologies that have indications for removal of the vitreous body:

• massive hemorrhage in the vitreous body cavity (total and subtotal hemophthalmus, recurrent partial hemophthalmus) with no effect of drug therapy
• severe proliferative vitreoretinopathy with the formation of dense fibrous strands in the vitreous body, fixed retina folds, neovascularization
• large tears or retinal detachment
• expressed vitreous body opacities
• foreign bodies of the vitreous body
• penetrating eye injuries or surgeries, accompanied by a significant loss of the vitreous body

In addition, vitrectomy can be performed to ensure sufficient access for surgical interventions on the posterior chamber of the eyeball.

Contraindications

Vitrectomy - a complex abdominal surgery, which has a number of contraindications. The intervention is not performed on patients with severe corneal clouding, severe disorders of blood coagulation, the tendency to allergic reactions.

Technique

At the discretion of the attending specialistsician, vitrectomy may be performed under general or local anesthesia. After dilution and fixation of the eyelids using blepharostat on the sclera of the eyeball three small incisions are made. Through these incisions, the doctor inserts into the cavity of the eyeball special microsurgical instrument vitreotom, as well as illuminant and infusion cannula. Vitreous body gets separated and drained, pathologically diseased tissues that cause the tension of the retina get removed, scars and fibrotic bands get dissected.

After that, the cavity is introduced with substitute (silicone oil, gas mixture, PFOS). Due to filling the vitreous cavity with substitute, a tight contact with the underlying tissues of the retina is created, which helps to keep the retina in the physiological state, avoiding repeated intraocular bleeding, prevent the growth of abnormal blood vessels (neovascularization).

Duration of vitrectomy surgery can vary significantly depending on the state severity of the patient, and is approximately 1.5 to 3.2 hours. In particularly difficult cases, it may take a few interventions.

After the operation the patient for some time will be recommended to avoid heavy lifting, intense physical and visual loads, fast slopes etc.

Possible complications

As any abdominal surgery, vitrectomy has some risk of complications that may arise in the course of the operation (bleeding, infection, retinal detachment, damage to the lens) and thereafter (corneal edema, increased intraocular pressure, repeated hemorrhage).

Advantages of vitrectomy in Moscow Eye Clinic

Moscow Eye Clinic provides high quality services for the diagnosis and treatment of eye pathologies of any complexity. The clinic is equipped with the best technologies that allow to carry out the most accurate diagnostics of the eye and perform operations of any complexity. Moscow Eye Clinic provides services seven days a week, from 9am to 9pm without days-off.

Vitrectomy in the Moscow Eye Clinic can be performed in a hospital mode or on an outpatient basis, the choice of reference and scope of surgery depends on the judgment of the attending specialist, the results of the preliminary examination and the complexity of the pathology.

With posterior chamber pathologies in Moscow Eye Clinic deals vitreoretinal surgeon Doctor of Science Ilyuhin Oleg Evgenievich. Dr. Ilyuhin repeatedly passed specialization in leading foreign (Austria, France, India) and domestic opthalmologic centers, he has successfully performed over 5000 complex operations on the retina, lens and vitreous body. The clinic also operates chief medical officer, surgeon of the higher category Fomenko Natalia Ivanovna, in whiose arsenal are more than 12,000 successful operations of various categories of complexity.

Cost of treatment

The cost depends on the amount used surgical techniques, the need to use general anesthesia, the presence of certain complications of the disease. The cost of implementation of closed vitrectomy is 25 000 rubles, extended vitreoretinal surgery – from 90 000 rubles.

A complete list of prices for the diagnostics and treatment of the eye can be seen here.

If you have any questions, you can ask our experts by using the feedback form on the website or by phone in Moscow: 8 (800) 777-38 81 and (499) 322-36-36 (daily from 9:00am to 9:00pm).