Vitreo Retinal Surgery

The retina is a very thin layer (about two hundred micro meters) of neural that allows the transmission of visual signals to the brain. The major retinal diseases of surgical interest are described below.

  • The retinal detachment is a condition in which the neurosensory retina detaches from its normal position. It is usually associated with a peripheral retinal tear (rhegmatogenous retinal detachment). Other times it is the consequence of a pathological traction that pulls the retina away from its physiological position (tractional retinal detachment).
  • The first clinical signs of retinal detachment are: flashes, flying flies, a black veil or a drop in visual acuity (when the center of the retina (the macula) is affected
  • The main risk factors are age, myopia, history of ocular trauma.
  • Retinal detachment needs urgent care. The surgical procedure can be carried out by an ab externo approach (the so called scleral buckling procedure) or by an ab interno one, this latter is called vitrectomy.

Fundus color photo. Left: retina of a normal eye. Right: retinal detachment on the upper part (arrow).

Vitreo retinal surgery techniques have advanced quite a lot these last few years

The anesthesia is sometimes simplified (local anesthesia), the instruments used are thinner (their caliber is 0.5 mm for 25G instruments), retinal visualisation is also much better with panoramic view systems available. With all of these combined technological advances, surgical procedures are done faster, which translates into more overall comfort for the patient.

You can make an appointment with one of the Ophthalmologists of the department who provide specific care dedicated to this pathology:

Dr Agnès Glacet-BernardAssociated Professor at the College of Medicine of the Hospitals of Paris

Department: Doctor
Specialty: Cataract surgery, General Ophthalmology, Retinal venous occlusive disease, Vitreoretinal surgery

Dr Oudy SemounPart-time Staff Physician

Department: Doctor
Specialty: AMD, Cataract surgery, General Ophthalmology, Ophthalmic Echography, Vitreoretinal surgery

Dr Daniel SeknaziFellow

Department: Doctor
Specialty: AMD, Cataract surgery, Children, Diabetic retinopathy, Myopic maculopathy, Retinal venous occlusive disease, Retinopathy of prematurity, Uveitis, Vitreoretinal surgery