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Vitreous Surgery

Overview

What is Vitreous Surgery?

Vitreous is a gel like material that fills the back of the eye and occupies about 4/5ths of the eye ball. It is normally clear and transmits light to the light sensitive retina.

   
 

How does the vitreous become diseased?

Diseases can affect the vitreous alone or the vitreous could be affected along with the neighbouring structures.

Abnormalities in the vitreous could be broadly in the form of opacities that block the entry of light; abnormal scar tissue that pulls on the sensitive retina.
 

The commonest opacity of the vitreous that blocks the light entry is blood. Bleeding can occur into the vitreous due to several diseases such as diabetic retinal disease, blunt or penetrating injury to the eye, occlusion of the retinal blood vessels etc.

 

Very often blood in the vitreous cavity (vitreous haemorrhage) is associated with variable amount of abnormal scar on the retina and the vitreous.

 

Certain types of retinal detachment can be associated with vitreous anomally.

 

When is vitreous surgery indicated?

  • Opaque vitreous that is not permitting the entry of light.

  • Abnormal vitreous that is pulling on the retina and not permitting it to stay in its normal position.

  • Infections of the inside of the eye can be associated with significant pus formation in the vitreous and hence this needs to be removed.

  • Sometimes vitreous surgery is needed in order to more satisfactorily treat certain disorders of the neighbouring structures although the vitreous may be clear and may not be having abnormal scar tissue e.g. certain varieties of retinal detachment.

  • Injury induced changes in the back of the eye including presence of foreign body inside the eye very often need vitreous surgery.

  • Certain complications of cataract surgery also may need vitreous surgery to correct the same. Very often vitreous surgery is only one component of a more complex surgery involving several structures of the eye.

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