Vitreoretinal surgery: what you need to know

Written in association with: Miss Susan Sarangapani
Published: | Updated: 08/08/2024
Edited by: Aoife Maguire

When considering any surgical procedure, it's crucial to have a clear understanding of what it involves, especially when it concerns something as delicate as your eyes. Vitreoretinal surgery is a specialised field focusing on the treatment of conditions affecting the retina and the vitreous humour, the gel-like substance inside your eye. Miss Susan Sarangapani explores what this surgery entails and the conditions it can treat.

 

 

What is vitreoretinal surgery?

 

Vitreoretinal surgery encompasses various procedures aimed at treating disorders of the retina and vitreous. The retina, located at the back of your eye, is a light-sensitive layer similar to the film in a camera. When the retina is damaged, your vision can become blurred or distorted. The vitreous humour, which fills the space between the lens and the retina, can also be involved in these conditions.

 

Imagine the vitreous humour as a clear, jelly-like substance that supports the shape of your eye and allows light to pass through to the retina. Over time, or due to certain eye conditions, this "jelly" can become less transparent or detach from the retina, leading to vision problems. Vitreoretinal surgery aims to address these issues by removing the vitreous and sometimes replacing it with a clear fluid or gas to help the retina heal properly.

 

What conditions are treated by vitreoretinal surgery?

 

Several eye conditions may necessitate vitreoretinal surgery, such as retinal detachment, which occurs when the retina peels away from its underlying layer of support tissue, much like wallpaper peeling away from a wall. If not treated quickly, it can lead to permanent vision loss. Surgery involves reattaching the retina to restore vision.

 

Another condition treated is macular hole, a small break in the macula, the central part of the retina responsible for sharp, detailed vision. It can be likened to a tiny tear in a piece of paper, disrupting your ability to see fine details. Surgery can help close the hole and improve vision.

 

Diabetic retinopathy can also be treated by vitreoretinal surgery. This condition affects individuals with diabetes and involves damage to the blood vessels in the retina. It's similar to how plumbing issues can cause leaks and damage in a house. Vitreoretinal surgery can help manage these complications and preserve vision.

 

Additionally, a vitreous haemorrhage can be treated by the surgery.  Sometimes blood vessels in the eye can bleed into the vitreous, causing "foggy" vision, much like trying to see through a dirty window. Surgery can remove the blood to clear your vision.

 

What happens during the procedure?

 

During vitreoretinal surgery, a small incision is made in the eye to remove the vitreous humour. Depending on the condition being treated, the surgeon might use tiny instruments to repair the retina, remove scar tissue, or address other issues. The eye may be filled with a special gas or silicone oil to help the retina stay in place as it heals.

 

What should I expect during the recovery?

 

Recovery from vitreoretinal surgery varies depending on the specific procedure and individual patient factors. Generally, you may need to wear an eye patch for a short period and use eye drops to prevent infection and inflammation. Your vision may be blurry initially, but it should gradually improve as your eye heals.

 

In summary, vitreoretinal surgery is a vital and effective treatment for various serious eye conditions. By understanding what the procedure involves and the conditions it treats, you can make a more informed decision about your eye health and treatment options.

 

 

 

If you would like to book a consultation with Miss Susan Sarangapani, simply visit her Top Doctors profile today.

By Miss Susan Sarangapani
Ophthalmology

Miss Susan Sarangapani is a renowned consultant ophthalmic surgeon, with a special interest in oculoplastics based in Tunbridge Wells. She practises at Tunbridge Wells Eye Centre, offering a wide variety of treatments including blepharoplasty, Ptosis surgery (droopy eyelid) entropion surgery (in turning eyelid) and ectropion surgery (out turning eyelid), as well as botox injections for conditions such as blepharospasm and facial spasm,
 
Regarding oculoplastics and lacrimal surgery, Miss Sarangapani employs both surgical and non-surgical methods to achieve natural-looking results in cosmetic and reconstructive procedures as well as facial rejuvenation. Her expertise covers a wide range of conditions, including eyelid issues, eye socket disorders (requiring orbital implants), and reconstructive surgery post-cancer removal. Her non-surgical treatments for facial rejuvenation include dermal fillers, skin hyperpigmentation treatments, and medical-grade skin peels.
 
Miss Sarangapani has received extensive training in ophthalmology, oculoplastics, and lacrimal surgery at some of London's leading eye hospitals. She graduated from The Royal Free Hospital School of Medicine (University of London) and completed her ophthalmology residency at Moorfields Eye Hospital. She further advanced her expertise with an eighteen-month Fellowship at the craniofacial unit at Chelsea & Westminster Hospital, where she trained alongside plastic surgeons, ENT and maxillofacial specialists, and oculoplastics consultants, gaining comprehensive experience in facial and eyelid reconstructive surgery. Another eighteen-month fellowship at Imperial College, London, focused on lacrimal and orbital Surgery, including tumour excision with reconstruction and endoscopic lacrimal surgery.
 
Alongside her clinical practice, Miss Sarangapani takes a keen interest in clinical research, with numerous publications in peer-reviewed journals and presentations at national and international ophthalmic conferences. She is a dedicated advocate for eye safety in sports and played a crucial role in the introduction of safety eyewear for women’s lacrosse in the UK.
 
Her practice is characterised by its emphasis on achieving natural-looking results, meticulous attention to detail, and an empathetic, consultative approach to patient care.
 

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