ende fr ru AR nl tr

Vitrectomy Operation

Vitrectomy Operation

What is Vitrectomy? Pars Plana Vitrectomy

Eye related diseases can be split in two subjects. The front part of the eye and the back. At the front, there is the cornea and the lens, and the Vitreous and Retina at the posterior part. The front part of the eye transmits the image to the posterior part. However, the posterior part completes the “seeing” by transmitting everything to the brain.

Vitrectomy, also known as Pars Plana Vitrectomy surgery, is the name of the surgery which performs holes smaller than 1mm on the retina and the gel at the posterior part.

On Which Diseases Can Vitrectomy be Applied?

Vitrectomy application has many causes. This procedure is performed almost in every vitreous - related conditions. Most significant reasons for Vitrectomy are: Diabetic Retinopathy (Advanced pathologies in diabetes patients), Vitreous Bleeding (Intra ocular bleeding), Macular Pucker, Retinal detachment and tears (ruptures of nerval system of the eye), macular holes, removal of a foreign object (post traumatic), post cataract operations (lens complications in), intra ocular infections after cataract or other eye surgeries.

How is Vitrectomy Performed?

It might be performed both under general anaesthesia or local. Vitreous chamber and retina are reached via 3 holes of 0.5 mm created on the eye wall.

After the intra ocular gel (vitreous) is cleaned via a probe which performs 1500 – 6000 incisions per minute, interventions are performed in order to correct the problems on the retina.

After the Operation

Depending on the type of the condition or the surgical intervention, gas or silicone oil might be injected into the eye, so you might be recommended to lie or sleep in a certain position.

If gas is injected into the eye, it is not recommended to fly for a while.

It is necessary to remove the silicone oil after 2-6 months if it is used.

You get discharged shortly after the vitrectomy procedure.

You might have discomfort, burning or stinging feelings or feel itchy. Those are normal and expected.

In order to protect your eye from traumas or environmental affects, it is recommended to wear a protective bandage for a few days or a week.

Vitrectomy without stiches provides a shorter healing period, decreases the irritation on the eye surface and increases the patient comfort.

Anatomical healing and improvement on the eyesight is directly related to the damaged on the sensitive structures of the eye before the operation.

The results are very positive if the retina is not affected in the presence of intra ocular bleedings.

The results are expected very positive if the central retina is not affected.

Retinal Detachments

Posterior Vitreous Detachment

The eyeball is filled with a transparent gel-liquid called vitreous. Mostly, the vitreous loses its form and consistence age relatedly. This loss of consistence causes the vitreous to detach from the posterior wall. This is called Posterior Vitreous Detachment. It is mostly caused by age, traumas, myopia, inherited conditions or former eye surgeries.

What Are the Symptoms of Posterior Vitreous Detachment?

Flying dots, objects, spiderwebs when looking at bright white surfaces
Flashing lights (both when eyes closed and open)
Posterior vitreous detachment and retinal detachments are not the same. The risk of retinal detachment increases during the appearance of posterior vitreous detachment, especially in first 12 months. Because of that, a patient with the symptoms of posterior detachment should definitely have a retinal examination.

Retinal Detachment

Intraocular fluid leaks through the retinal tear, between the eyewall and the retina. As a result of vitreous fluid shrinking, this liquid leaves the posterior eye wall. This is called the posterior vitreous detachment.

During the formation of the posterior vitreous detachment, tears might occur on retinal nerve layers. Symptom of the retinal detachment and posterior vitreous detachment are nearly the same. After the retinal tear, the intraocular fluid leaks between the retinal and the eye wall and causes to retinal detachment.

What Are the Symptoms of Retinal Detachment?

These symptoms are:

Flashing lights when the eyes are closed and open (just like the vitreous detachment).
Appearance of dots in the vision.
Gray and black tint in the visual area.
Blurred vision or visual impairment which also stays after blinking.
Treatment of Retinal Detachment

A surgical intervention is needed if the retinal detachment is developed. The surgical method depends on the number of the retinal tears, the width, the shape and the timing.

Scleral Buckling Method

It is the oldest method used in detachment surgeries. A hard silicone material is placed on the outer wall of the eyeball, the buckling is applied so the retinal tear is closed. After that, the retinal detachment fluid is suctioned by the eye and the healing is completed.

Vitrectomy Method

Vitrectomy might be needed if the tears are multiple, big, dispersed or if there are other conditions of the eye (internal bleeding etc.), or if it’s been a long while after the tears occurred. Retinal detachment is intervened from the inside of the eye in this procedure. Small holes are opened on the eyeball, vitreous fluid is suctioned by the probes and aspiration equipment. The tears are closed, and laser treatment is applied. A tampon material is needed for the torn area to stick back together after the laser treatment. This tampon material can be air-like gases or silicone oil. The patient will need to use a protective eye drop after the operation and lie down with a certain head position.

Who Should Have the Examinations for Retinal Tears and Retinal Detachments?

If there are sudden appearances of flying objects in the vision or flashing lights, an examination of retinal tear is definitely a must. Or if the following symptoms are present:

• High degree myopia
• After heavy traumas
• Cataract or eye surgeries before
• Retinal tears in the family
• Retinal operations in the family


He graduated from the Faculty of Medicine at Hacettepe University (Medium of education: English) in 1997. He completed his specialty in Ophthalmology at Ege University Medical School, at the Ophthalmology Department. He became an Assistant Professor in 2006, and an Associate Professor, in 2010 and received the Professorship title in 2016. In 2003, he received a training on retinal and vitreoretinal surgery at the University of Helsinki's Cornea and Refractive Surgery and in 2017 as a visiting physician at the retinal section of George Washington University in the USA. His main areas of interest are Cataract, Retinal Diseases (Diabetes, Yellowhead Disease, Retinal Vein Diseases etc.), Corneal Diseases (Keratoconus, Dry Eye, Conjunctival Surface Diseases), Uvea (Behçet's Disease) Diseases. He scored over 6000 surgical cases in these areas. He has 36 scientific articles which have been published in international scientific indexes. He has over 80 presentations in various congresses. He has worked as a chapter writer and book editor in Turkish ophthalmology books. He has attended many national and international scientific meetings as a lecturer and panel speaker. He is an active member of the Turkish Ophthalmology Association (TOD) Cataract and Refractive Surgery Unit (2010), Turkish Ophthalmology Association (TOD) Cornea and Ocular Surface Unit (2010), TOD Uvea Unit (2010). Prof. Dr. Sinan EMRE can speak English. He is married and has one child.
He was born in Ankara in 1945. He attended TED Ankara College, İzmir Bornova Anatolian High School and Ege University, Faculty of Medicine between 1963 and 1969, respectively. Upon his graduation, he started his specialization at Ege University, Faculty of Medicine, Eye Diseases Department and assumed the title of Eye Diseases Specialist in 1971. Between 1974 and 1975, he performed his military service as an ophthalmologist in Hatay Military Hospital in İzmir. After that, he was educated on Retinal Diseases and Lasers in Ophthalmology Clinic of the Faculty of Medicine at University of Gant, Belgium for 1 year. In 1977, he assumed the title of Associate Professor of Ophthalmology, and he founded and operated Retina and Contact Lenses units in Ege University, Faculty of Medicine, Department of Eye Diseases. In 1982 he became a Professor of Eye Diseases. Between 1992 and 2000, he served as the Head of Department of Eye Diseases, Faculty of Medicine, Ege University. In the meantime, he published 3 books and more than 150 domestic and foreign scientific papers, and about 170 papers in national and international congresses. He is married to Dr. Nigar Erbakan and has two sons.
Dr Esat Çınar was born in Diyarbakır in 1976. He started İstanbul University, Faculty of Medicine in 1997 and graduated in 2003. He completed his speciality degree between 2003 and 2009 at İzmir Ege University, Faculty of Medicine, Ophthalmology Department. He was in charge of Glaucoma and Cornea Departments as a Deputy Associate Professor in İzmir University Hospital Faculty of Medicine, Department of Ophthalmology. He studied “Keratoplasty” in Ege University, Faculty of Medicine for 6 months (also known as “eye transplant”). He also was in charge of the controls of the premature babies’ in İzmir University Ophthalmology Department. He attended the course for vivisection both in clinical and laboratory fields for one month. His special interests are; Cataract surgery (multifocal, trifocal and thoric intraocular lenses), Cataract surgery with laser (Femtosecond Cataract), Keratoplasty, glaucoma surgery (non-penetrant surgeries such as viscocanalostomy, deep sclerotomy), Excimer Laser Surgeries (Lasik, Lasek, PRK), medical retinal diseases. He has many published articles in international indexes. He has many verbal and written presentations in national and international scientific meetings. He is an active member of the Turkish Association for Ophthalmology. He speaks fluent English and has one child.
He was born in Izmir, in 1971. He attended summer school at Mids School of English, Eastbourn, England for learning a foreign language while he was in Bornova Anatolian High School and graduated with a high degree. He started his medical education at Ege University and continued with his specialization at JL Uni-Giessen, Germany, where he had the chance of working peer to peer with names such as Prof. Dr. Karl W. Jacobi, Prof Dr. Herbert Kaufmann, Prof. Dr. S. Pavlovic. Then, he found the opportunity to further his education in the field of refractive surgery by working with the most important names, such as Prof. Dr. T. Kohnen, JWG Uni-Frankfurt, Prof. Dr. I. Pallikaris, University of Crete, Prof Dr. Mahmut Kaşkaloğlu, Ege University Faculty of Medicine and Kaşkaloğlu Eye Hospital. Besides, he did scientific studies about medical glaucoma treatment, which is his other field of interest, with Ass. Prof. Dr. Karl Georg Schmidt, CGC Uni-Dresden. He is a member of DOG, ESCRS, ISRS of the AAO and TOD. He is married and has one child.
He graduated from Hacettepe University Faculty of Medicine in 1998. He completed his speciality in İzmir Dokuz Eylül University Faculty of Medicine Department of Eye Diseases between 1998 and 2002. He studied Retinal Surgeries in Munich Ludwig – Maximillian University Faculty of Medicine, Department of Eye Diseases. Special Interests: Cataract Surgeries (Multifocal, Trifocal, Toric Intraocular Lenses), Laser Cataract Surgeries (Femtosecond, Laser Cataract), Excimer Laser Surgeries (Lasik, Lasek, PRK) and Medical & Surgical Retinal Surgeries, Eyelid Surgeries. He has many articles published which were also scientifically indexed. He has oral and poster presentations in national & international science meetings. He is an active member of Turkish Society of Ophthalmology. He speaks English & German well, and married with 2 children.
He graduated from Istanbul University, Faculty of Medicine and completed his specialty training in S.S.K Istanbul Hospital in 1984. He worked at Çanakkale State Hospital between 1984 and 2007. After 2007, he worked in private sector health units. He is an active member of The Turkish Ophthalmology Association and American Cataract and Refractive Association. Anterior segment (cataract) medical retina, glaucoma and contact lens are his areas of interest. He has a good command of English.
He was born in 1977. He graduated from Ege University. Fields of Interest: Cataract Surgery (Monofocal, Multifocal, Trifocal, EDOF, Toric Lenses) Excimer Laser (Femtosecond LASIK, PRK, No-Touch) ICL Keratoconus - Crosslink, Hard Contact Lens Application, Intrastromal Corneal Ring Strabismus Surgery Oculoplastic Surgery (Eyelid Aesthetic Surgery, Ectropium, Entropium, Ptosis, Probing, Tear Duct Obstruction) Pterygium Surgery (with Autograft) Glaucoma Medical and Laser Therapy Retinal Diseases (Intraocular Drug Injections, Diabetic Retinopathy, Yellow Spot Disease, Retinal Tears) Soft Contact Lens Inspection and Application He is a member of Turkish Association of Ophthalmology. He is married.
Dr. Kaan Okan Erdem was born in İzmir, in 1968. He finished middle school in Private İzmir Türk College and high school in Atatürk High School. He studied medicine in Selçuk University Faculty of Medicine. He is an active member of European Association of Cataract and Refractive Surgery, European Association of Ophthalmic Plastic and Reconstructive Surgery. He is interested in cataract, refractive surgery, oculoplastic and reconstructive surgery (upper and lower eyelids, tumour removals around the eye, entropium, ectropium ptosis, blepharoplasty), eye ultrasound, medical retinal and glaucoma. He speaks fluent English and married with 2 children.
He graduated from Dokuz September University Faculty of Medicine in 1996. He completed his specialized education in the Department of Ophthalmology of the Faculty of Medicine of the Aegean University between 1996-2001 and earned the title of ophthalmologist Dec. He has published numerous scientific articles that fall into international scientific indexes. There are numerous oral and poster presentations to national and international scientific meetings. He is an active member of the Turkish Ophthalmology Association (Tod). He speaks good English, Opr. Dr. Uğur Karagöz is the father of 2 children. Special interests: Cataract surgery (multifocal, trifocal, Toric intraocular lenses) Cataract surgery with laser (Femtosecond Laser Cataract) Excimer laser surgeries (Lasik, Lasek, PRK) Medical and surgical Retina Eyelid Surgeries
Born in Cyprus Serdarlı, he graduated from Nicosia Turkish High School. He graduated from Dokuz Eylul University Faculty of Medicine. He completed his specialization in Atatürk Health Site Yeşilyurt State Hospital with his thesis on the comparison of the rear camera lens application and the front camera lenses, which was started to be applied for the first time in the clinic under the management of Zühal Çakırca, the clinical chief. She worked as a contact lens center in İzmir for three years and then as chief physician at Karşıyaka Kızılay Fatma Kutluay Dispensary. He continued to work in Karşıyaka by establishing the Private Yalı Polyclinic in 2005 and the Private Yalı Eye Health Branch Center in 2007, his special interests are refraction and contact lenses. He is a member of the Turkish Ophthalmology Association.
He graduated from Ege University Faculty of Medicine in 1989. Specialization he completed his education in Izmir Education and Research between 1991-1994. He completed his Ophthalmology Department at the Hospital. International A large number of scientific articles included in scientific indexes have been published. Numerous oral and poster presentations to national and international scientific meetings has a presentation. He is an active member of the Turkish Ophthalmology Association (TOD). Fluent in English, Opr. Dr. Gazi Duman is married and has two children. Special interests: Cataract Surgery (multifocal, trifocal, toric intraocular lenses) Cataract Surgery with Laser (Femtosecond Laser Cataract) Excimer Laser Surgery (Lasik, Lasek, PRK) Medical and Surgical Retina Eyelid Surgery Strabismus Surgery