Vitreoretinal Surgery & Retinal Detachment Repair
Emergency and elective vitreoretinal care utilizing modern 23G/25G sutureless vitrectomy systems, silicone oil/gas endotamponade, and retinal tear repair.
Understanding the Condition
Vitreoretinal conditions affect the thin, light-sensitive tissue lining the back of the eye (retina) and the clear gel filling the eye cavity (vitreous). Retinal detachment—a sight-threatening emergency where the sensory retina separates from the underlying retinal pigment epithelium—demands prompt surgical intervention to prevent irreversible visual loss.
Common Symptoms & Clinical Signs
Diagnostic Evaluation & Pre-Treatment Workup
Prior to recommending any surgical or medical protocol, patients undergo objective diagnostic testing in our specialized suites:
- Comprehensive indirect ophthalmoscopy with scleral indentation to inspect the 360-degree retinal periphery
- High-resolution B-Scan ocular ultrasound to evaluate retinal status when cataracts or vitreous hemorrhage obscure direct view
- Spectral-domain OCT of the macula to evaluate macular holes, epiretinal membranes, and vitreo-macular traction
Available Treatment Options & Procedures
Micro-Incision Vitrectomy Surgery (23G / 25G MIVS)
Sutureless removal of the diseased vitreous gel through microscopic ports, followed by internal drainage of subretinal fluid and endolaser application.
Gas or Silicone Oil Endotamponade
Placement of an expanding intraocular gas bubble (C3F8/SF6) or medical-grade silicone oil to hold the reattached retina in place during healing.
Macular Hole Repair with ILM Peeling
Delicate microscopic peeling of the internal limiting membrane to release tangential traction and facilitate closure of full-thickness macular holes.
Patient Candidacy & Contraindications
- ✓ Patients with rhegmatogenous, tractional, or exudative retinal detachments
- ✓ Individuals with non-clearing vitreous hemorrhage secondary to diabetic retinopathy or retinal vein occlusions
- ✓ Patients suffering from symptomatic macular holes, macular puckers, or dropped nucleus fragments
- ✕ Cases where light perception has been completely absent for prolonged periods with widespread atrophy require careful prognosis counseling.
Recovery Timeline & Post-Operative Care
- Maintain specific posture (face-down prone or side-lying) for 5 to 10 days if a gas bubble or silicone oil was placed
- Strictly avoid air travel, high-altitude travel, and nitrous oxide anesthesia until the intraocular gas bubble has fully resorbed
- Use anti-inflammatory and cycloplegic drops strictly according to surgeon instructions
Clinical Limitations & Safety Considerations
In accordance with ethical medical practice, no medical procedure carries a guarantee of 100% cure or zero risk. Our ophthalmologists conduct thorough risk-benefit evaluations before every treatment.
- • Patients undergoing vitrectomy who retain their natural lens will develop progressive cataract over subsequent months/years.
- • Silicone oil tamponade requires a subsequent minor procedure for oil removal once the retina is securely attached.
- • Final visual acuity depends heavily on whether the macula was detached prior to surgery and the duration of detachment.
Questions About Retina & Vitreous Surgery
Is retinal detachment an absolute emergency?
Why do I have to maintain a face-down posture after surgery?
Consultation Guide, Clinical Evaluation & Quotations
Every eye is unique. Treatment decisions—ranging from therapeutic medical regimens to advanced day-care microsurgeries—depend strictly upon diagnostic measurements, corneal topography, retinal health, and lifestyle requirements rather than standard pre-set packages.
What to Bring to Your Visit
- • Current spectacles and existing prescription cards
- • Relevant previous eye records or surgical discharge summaries
- • Complete list of systemic medications (diabetic/BP records)
- • Health insurance TPA card or policy details for cashless review
Factors Influencing the Treatment Pathway
- • Diagnostic findings from computerized biometry and scans
- • Lens or technology choice (e.g. monofocal, toric, or multifocal)
- • Co-existing eye conditions (e.g. glaucoma, macular changes, dry eye)
- • Follow-up schedule and customized post-operative medication
Because care is tailored to your clinical assessment, fixed promotional packages are not published online. Contact the hospital for an individual quotation after assessment. Our hospital counselors provide an itemized breakdown of clinical fees, diagnostic workups, and insurance pre-authorization support following your in-person examination.
Where Care is Delivered Across Our Branches
To ensure convenience and uninterrupted continuity of ophthalmic care, Vijaya Eye Hospital delivers clinical services across two dedicated physical centers in Bangalore:
Vijayanagar Main Hospital
Surgical CenterFull outpatient consultations, comprehensive diagnostic workups, and all day-care surgical procedures in sterile modular operation theatres. Includes Neha Opticals dispensary.
Nagadevanahalli Branch
West Bangalore OPDSpecialist outpatient consultations, computerized diagnostic testing, and pre/post-operative reviews. All surgical procedures are scheduled at our Vijayanagar surgical facility.
When to Seek Immediate Ophthalmic Attention
Certain ocular symptoms require prompt emergency evaluation to protect eyesight. Contact our hospital desk or visit immediately if you experience:
- • Sudden, painless loss or dimming of vision
- • Sudden shower of dark floaters or flashes
- • Chemical or toxic substance splash into eye
- • Blunt or penetrating ocular physical trauma
Related Specialties & Patient Services
Explore interconnected clinical departments and patient support services at Vijaya Eye Hospital:
Request Your Consultation
Meet with our attending ophthalmologists for an objective clinical assessment at our Vijayanagar or Nagadevanahalli hospital.
Attending Specialists
This procedure is covered under most corporate and individual health insurance policies subject to TPA approval.
View Pre-Authorization Guide →