What Is Pars Plana Vitrectomy and How It Works?

Blurred vision, floaters, or sudden vision loss—these symptoms can be unsettling and, in some cases, if left untreated, they can lead to permanent vision damage. But thanks to modern surgical techniques, there’s a way to restore clarity. A specialized eye surgery, Pars Plana Vitrectomy, is often recommended to treat these conditions and improve vision.

In this guide, we’ll explore what Pars Plana Vitrectomy is, why it’s done, how the procedure works, recovery expectations, and costs. If you’re wondering whether this surgery is right for you, keep reading!

What Is Pars Plana Vitrectomy?

Pars Plana Vitrectomy (PPV) is a delicate eye surgery performed to treat conditions that affect the vitreous humor—the gel-like substance that fills the inside of the eye. The procedure is done at a specific point in the eye called the pars plana, which is located near the retina at the back of the eye.

When the vitreous becomes cloudy, filled with blood, or develops scar tissue, it obstructs light from reaching the retina, leading to vision problems. By removing the affected vitreous and replacing it with a clear gas, air bubble, or oil, the surgeon helps restore clearer vision and improves the chances of retinal healing.

This procedure is commonly performed to prevent vision loss and, in many cases, improve a patient’s eyesight. It’s a well-established surgery, often done under local anesthesia, making it both effective and safe for individuals suffering from serious eye conditions.

Common Conditions Treated with Pars Plana Vitrectomy

Pars Plana Vitrectomy is often performed to treat serious eye conditions that affect the vitreous humor and retina. Here are the most common indications:

• Retinal Detachment – When the retina pulls away from the back of the eye, causing blurred vision or blindness. Surgery helps reattach the retina and prevent permanent vision loss.
• Macular Hole – A small tear in the macula (the part of the retina responsible for sharp vision), leading to blurry or distorted vision. Vitrectomy helps close the hole and improve sight.
• Diabetic Retinopathy – A complication of diabetes that causes bleeding and scar tissue formation in the eye, leading to vision problems. Removing the damaged vitreous reduces cloudiness and prevents further damage.

In these cases, vitrectomy is necessary to clear the obstructed vision and help the retina heal properly. Without treatment, these conditions can worsen and lead to severe or permanent vision loss.

How Is Pars Plana Vitrectomy Performed?

Pars Plana is a delicate yet effective eye surgery designed to remove cloudy or damaged vitreous humor and restore clearer vision. Here’s how it’s done:

• Numbing the Eye – Before the procedure begins, a numbing injection (local anesthesia) is administered to ensure a pain-free experience. In some cases, sedation is also given to keep the patient relaxed.
• Creating Tiny Openings – The surgeon makes small incisions in the sclera (the white part of the eye) to access the pars plana, a safe entry point near the retina.
• Removing the Vitreous Gel – Using precision instruments, the cloudy or damaged vitreous humor is carefully removed to clear the visual obstruction.
• Replacing the Vitreous – To maintain the eye’s shape and help healing, the Vitreous is replaced with a gas bubble, air bubble, or silicone oil, depending on the condition being treated.
• Closing the Incisions – The small openings usually heal on their own, but in some cases, tiny sutures may be used. A protective eye patch is placed to aid recovery.

The surgery typically takes 1 to 2 hours and is performed as an outpatient procedure, meaning patients can go home the same day. While vision may be blurry at first, it gradually improves as the eye heals.

How Much Does It Cost?

The cost of Pars Plana Vitrectomy typically ranges between ₹45,000 to ₹50,000 per eye. However, the final price can vary based on several factors:

• Type of Replacement Material – The vitreous humor is replaced with a gas bubble, air bubble, or silicone oil. Silicone oil is often costlier due to its longer-lasting properties.
• Hospital & Surgeon’s Expertise – Costs can differ depending on the hospital, city, and the experience of the surgeon performing the procedure.
• Diagnostic & Pre-Surgical Tests – Additional costs may arise from necessary eye scans, blood tests, and consultations before surgery.
• Post-Surgery Medications & Follow-ups – Prescription eye drops, medications, and follow-up visits can add to the overall expense.
• Insurance Coverage – Some health insurance plans cover vitrectomy, while others may only provide partial reimbursement.

To get an accurate estimate, it’s best to consult an eye specialist and inquire about hospital-specific pricing, available payment plans, and insurance options.

Conclusion

Your vision is precious, and if you’re experiencing blurred vision, floaters, or serious retinal conditions, ignoring them could lead to permanent vision loss. Pars Plana Vitrectomy is a safe and effective solution to restore clarity and prevent further damage.

If you’re dealing with retina-related problems, don’t wait—early treatment can make all the difference. At EyeMantra, our expert surgeons specialize in advanced retinal procedures to help you regain clear vision.

📞 Book your free appointment now at +91 9711116605 and take the first step towards better eye health!

FAQs

1. Is Pars Plana Vitrectomy Painful?
No, the procedure itself is not painful because local anesthesia (numbing injection) is used to ensure comfort. Some patients may also receive mild sedation to stay relaxed. However, after surgery, mild discomfort, irritation, or a gritty feeling in the eye is common. This can be managed with prescribed eye drops and pain relievers. Any severe pain should be reported to the doctor immediately.

2. How Soon Can You See Clearly After a Vitrectomy?
Vision improvement depends on the severity of the condition and the healing process. Initially, vision may be blurry or hazy, especially if a gas bubble is used, as it takes weeks to dissolve. Most patients notice gradual improvement within a few weeks to months, but complete recovery can take up to 3 to 6 months. Patience is key, and regular follow-ups help track progress.

3. Post-Surgery Do’s and Don’ts for a Smooth Recovery

Do’s:

• Follow the recommended head positioning if a gas bubble is used.
• Use prescribed eye drops as directed to prevent infection and aid healing.
• Wear an eye patch or shield as advised, especially while sleeping.
• Attend all follow-up appointments for proper monitoring.

Don’ts:

• Avoid rubbing or pressing on the eye to prevent complications.
• Refrain from strenuous activities like heavy lifting or bending for a few weeks.
• Don’t travel by airplane if a gas bubble was used—changes in air pressure can harm the eye.
• Stay away from dusty or smoky environments to avoid irritation.

4. What Happens If You Don’t Get a Vitrectomy When Needed?
Delaying or avoiding a necessary vitrectomy can lead to worsening vision problems, and in severe cases, permanent blindness. Conditions like retinal detachment or diabetic retinopathy can progressively damage the retina, making later treatment less effective. If your eye specialist recommends the surgery, it’s important to act promptly to preserve your vision.