How Safe Is a Vitrectomy Procedure?
Submitted by Michael J. Elman, M.D. on March 28, 2025
Vitrectomy is a specialized eye surgery used to treat a range of serious retinal conditions, including retinal detachment, macular holes, and complications from diabetic retinopathy. At Elman Retina Group, Dr. Michael J. Elman, Dr. Sidney A. Schechet, and Dr. David Dao perform vitrectomy using advanced techniques to ensure patient safety and optimal outcomes. If you have been recommended for vitrectomy, understanding the procedure and its safety can help ease any concerns.
What Is a Vitrectomy?
A vitrectomy is a surgical procedure that removes the vitreous, the clear gel-like substance that fills the eye. This is done to give the surgeon better access to the retina and to address conditions that may be affecting vision. Once the vitreous is removed, it is replaced with a special saline solution, gas bubble, or silicone oil, depending on the nature of the condition being treated.
Is Vitrectomy a Safe Procedure?
Vitrectomy is considered a safe and effective procedure, especially when performed by an experienced retinal specialist. The risks are generally low, and most patients experience improved vision after recovery. Advancements in surgical techniques, such as small-incision vitrectomy, have made the procedure safer with a reduced recovery time. However, like any surgery, there are potential risks that should be considered.
What Are the Risks of Vitrectomy?
Although complications from vitrectomy are rare, possible risks include:
- Infection (endophthalmitis), which is very uncommon but can be serious
- Increased risk of cataract development, especially in older patients
- Elevated intraocular pressure, which may require additional treatment
- Retinal detachment, though this is rare and treatable if detected early
- Temporary or permanent vision changes
The majority of patients recover well with minimal complications. Following post-operative care instructions is key to reducing risks and ensuring a smooth healing process.
What to Expect During Recovery
Vitrectomy is typically performed as an outpatient procedure, meaning patients go home the same day. Recovery varies depending on the reason for the surgery, but most patients can resume light activities within a few days. Some important recovery guidelines include:
- Wearing an eye shield as directed to protect the eye
- Using prescribed eye drops to prevent infection and inflammation
- Avoiding strenuous activities for a few weeks
- Following head positioning instructions if a gas bubble was used during surgery
Talk to an Experienced Retinal Specialist
Vitrectomy is a well-established procedure with a strong safety record, particularly when performed by experienced specialists like those at Elman Retina Group. If you have been diagnosed with a retinal condition that may require vitrectomy, schedule a consultation with Dr. Elman, Dr. Schechet, or Dr. Dao to discuss your options. Call (410) 686-3000 to learn more.
