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Vitrectomy Surgery

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Medically reviewed by: Prof. Dr. Fevzi Şentürk · Last updated: 7 September 2026

What is vitrectomy?

Vitrectomy is the surgical removal of the vitreous gel that fills the back of the eye, giving safe access to the retina. It is performed today through very small, self-sealing ports (23G, 25G, 27G).

When is it needed?

  • Retinal detachment
  • Vitreous haemorrhage, particularly in diabetes
  • Macular hole and epiretinal membrane
  • Tractional changes in advanced diabetic retinopathy
  • Intraocular inflammation and diagnostic sampling
  • Complications such as retained lens fragments

The procedure

Surgery is performed under local or general anaesthesia. After the vitreous is removed, the necessary retinal work is carried out — membrane peeling, laser, retinal reattachment. Gas or silicone oil may be placed in the eye; in that case a specific head position is required afterwards. Gas absorbs on its own, whereas silicone oil is removed in a second procedure.

Recovery

Visual recovery depends on the underlying condition and may take weeks to months. While gas is present, vision is blurred and air travel or ascent to altitude must be avoided. Follow-up begins the day after surgery.

Risks

Intraocular pressure changes, accelerated cataract formation, infection, recurrent detachment and bleeding are among the reported risks. In most patients over 40, cataract progresses within a few years of vitrectomy and lens surgery may be required.

Frequently asked questions

Which conditions require vitrectomy?

Retinal detachment, vitreous haemorrhage, macular hole, epiretinal membrane and advanced diabetic retinopathy.

Will I need to keep my head in a position?

If gas is placed in the eye, a specific head position is required for the period your surgeon specifies.

How long until vision improves?

It depends on the underlying condition — weeks to months. While gas is present vision remains blurred.

Can I fly with gas in the eye?

No. Air travel and ascent to altitude are unsafe until the gas has absorbed.

Medically reviewed by

Prof. Dr. Fevzi Şentürk — Professor of Ophthalmology — retinal diseases and vitreoretinal surgery, Nişantaşı Hastanesi Göz Merkezi. Our doctors

This page is for general information and does not replace an examination by a doctor. Treatment decisions are made after examination and diagnostic tests.

Your Expert Eye Surgeon

Prof. Dr. Fevzi Şentürk, Göz Doktoru, Retina uzmanı, Our eye doctors, göz Doktorlarımız, Göz cerrahlarımız
EYE SURGEON AND RETINA EXPERT

Prof.Dr. Fevzi Senturk

Education Information:

He completed his primary, secondary and high school education in Ankara. Fevzi Senturk graduated from Ankara University Faculty of Medicine with a degree in 1994, and subsequently received his Ophthalmology Specialization training from Eskisehir Osmangazi University Faculty of Medicine in 2000. Afterwards, Fevzi Senturk completed his Retina Fellowship at Istanbul Retina Institute and earned the title of Associate Professor at this institution. He is still continuing his academic career by taking the title of Professor at Istanbul Medipol University. He has focused his scientific and clinical studies on retinal diseases, Vitreoretinal surgery and cataract surgery.

Awards,Memberships and Scientific Research:

  • Retinal capillary hemangioma: AB interno surgical excision, 43rd National Congress Awards, Best Video First Prize, 2009
  • Photodynamic therapy guided by indocyanine green angiography in chronic central serous chorioretinopathy, Turkish Journal of Ophthalmology, Best Publication Third Prize, 2000
  • Retinal capillary hemangioma: AB interno surgical excision, 43rd National Congress Awards, Best Video First Prize, 2009
  • Photodynamic therapy guided by indocyanine green angiography in chronic central serous chorioretinopathy, Turkish Journal of Ophthalmology, Best Publication Third Prize, 2000
  • Vitreoretinal Surgery Techniques, Second Edition, Hayat Medicine Bookstore, 2008
  • Eye Diseases and Anti-VEGF Therapy 2010.
  • Ocular Electrophysiology (TOD Education Publications No 13) Meaning of VEP, VEP registration and parameters in ISCEV standards., 2011
  • Clinical Eye Atlas (Oxford Atlases in Ophthalmology), 2012
  • Imaging in Ophthalmology, Microperimetry, 2013
  • Ocular Electrophysiology (TOD Education Publications 1st Edition), Multifocal Electroretinogram Recording and Evaluation, 2022.
  • Current Vitreoretinal Surgery (TOD Education Publications), Surgical Anatomy of the Retinal and Vitreous, 2022.
  • Turkish Medical Association
  • Turkish Ophthalmology Association
  • Turkic Republics Ophthalmology Association
  • Electrodiagnostic unit board membership
  • Electrodiagnostic unit training representative
  • International Society for Clinical Electrophysiology of Vision (ISCEV)

Specialized Treatments and Surgeries:

  • Macular Degeneration Disease and Treatments
  • Retinal Detachment Treatments
  • Retinal Hemorrhages Due to Diabetes and Hypertension and Their Treatments
  • Retinitis Pigmentosa Treatments
  • Central Serous Chorioretinopathy
  • Retinal Vascular Occlusions
  • Epirentinal Membrane
  • Macular Hole
  • Glaucoma eye pressure
  • Neuroophthalmological Diseases
  • Vitrectomy-Retina Surgery
  • Intravitreal Injection Treatments
  • Argon Laser Photocoagulation Treatment
  • Photodynamic Therapies

Foreign language:

  • English
MEDICAL UNIVERSITY of Ankara
28 Years of Experience
>25.000 Surgery
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