Our Services
What is Sutureless Vitrectomy Surgery?
Sutureless Vitrectomy Surgery, also known as Microincision Vitrectomy Surgery (MIVS), is a minimally invasive procedure that has revolutionized the field of retinal surgery. It is designed to treat diseases affecting the vitreous and retina using ultra-fine instruments through very small incisions, typically 23-gauge, 25-gauge, or even 27-gauge. These incisions are so tiny that they do not require sutures, leading to significantly faster recovery, minimal discomfort, and reduced surgical trauma. MIVS has become the preferred technique for a wide range of vitreoretinal disorders, offering both precision and patient comfort.
The vitreous is a clear, jelly-like substance that fills the middle part of the eye and plays a vital role in supporting the retina. In certain eye conditions, this gel can become clouded, filled with blood, or cause pulling on the retina, leading to vision loss or damage.
Why is Vitrectomy Needed?
- Vitreous hemorrhage caused by diabetic retinopathy
- Retinal detachment, where the retina peels away from the eye wall
- Macular hole or epiretinal membrane, affecting central vision
- Eye trauma or foreign body removal
- Complications from cataract surgery, such as retained lens fragments
The Procedure: How MIVS is Performed
Sutureless vitrectomy is usually performed under local anesthesia, although general anesthesia may be used in some cases. The surgeon begins by creating three tiny incisions in the white part of the eye (sclera). These microincisions are used to insert:
A fiber-optic light source to illuminate the inside of the eye
A vitrectomy probe to cut and remove the vitreous gel
An infusion cannula to maintain the shape and pressure inside the eye.
Advantages of Sutureless Vitrectomy (MIVS)
- No Sutures Required: Microincisions naturally seal, eliminating the need for stitches and reducing patient discomfort
- Faster Recovery Time: Most patients return to daily activities much sooner than with conventional surgery.
- Minimal Trauma to the Eye: Smaller instruments mean less disturbance to the delicate structures of the eye.
- Less Inflammation and Pain: Reduced postoperative irritation improves overall comfort and outcomes.
Conditions Treated with Sutureless Vitrectomy at Sheevam Netralaya
- Diabetic Vitreous Hemorrhage
- Macular Hole and Epiretinal Membrane
- Floaters and Vitreomacular Traction
- Intraocular Infections (Endophthalmitis)
- Complications after Cataract Surgery
- Traumatic Eye Injury
Benefits of MIVS for Our Patients
- Sutureless Surgery Tiny incisions (usually ≤0.5 mm) eliminate the need for stitches, making the procedure minimally invasive.
- Less Discomfort Smaller incisions mean less trauma to the eye, resulting in minimal pain and faster comfort post-surgery.
- Faster Healing & Recovery Patients recover quicker compared to traditional vitrectomy, often resuming normal activities in a few days.
- Reduced Risk of Infection Smaller, self-sealing wounds lower the risk of postoperative infections.
- Improved Surgical Control Advanced instruments and high-resolution viewing systems provide greater precision during delicate retinal procedures.
