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Vitrectomy vs Retinal Laser Treatments: What to Expect

Mr Chien Wong

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Mr Chien Wong

Meet the Author

Specialist areas: Retinal, Cataracts, Floaters, Macular Degeneration, Retinal Detachment, Macular Hole

28 Oct 2025

Photo Laser Reshaping Lens Eye

Are You Dealing with a Retinal Condition? 

If you've recently been diagnosed with a retinal condition, your ophthalmologist may have mentioned two key treatment options: vitrectomy and retinal laser treatments. While both are designed to manage and treat retinal disorders, they work in very different ways – and the best option for you depends on the condition of your eye and the severity of your symptoms. 

Understanding the Retina and Common Retinal Conditions 

Your retina is a thin layer of tissue at the back of the eye responsible for capturing light and sending visual signals to the brain. If the retina is damaged or affected by disease, your vision may become blurred, distorted or even lost if left untreated. 

Conditions that may require vitrectomy or laser treatment include: 

  • Retinal tears or detachments
  • Diabetic retinopathy
  • Macular holes
  • Epiretinal membranes
  • Vitreous haemorrhage
  • Retinal vein occlusion 

Let’s take a closer look at how these treatments differ, what each procedure involves, and what you can expect before, during and after. 

What Is a Vitrectomy? 

Vitrectomy is a surgical procedure where the vitreous gel (the clear, jelly-like substance inside your eye) is removed to allow your surgeon better access to the retina. 

This procedure is typically performed under local anaesthetic with sedation and may take around 1–2 hours depending on complexity. 

Why a Vitrectomy Is Needed 

Vitrectomy is often recommended when: 

  • There is bleeding in the vitreous (vitreous haemorrhage)
  • Scar tissue is pulling on the retina
  • The retina has become detached and needs repositioning
  • A macular hole or epiretinal membrane needs surgical correction 

Once the vitreous is removed, the space is usually filled with a gas bubble, silicone oil or saline solution to maintain eye pressure and support the retina while it heals. 

What Is Retinal Laser Treatment? 

Retinal laser treatment is a non-surgical procedure that uses focused beams of light to create tiny burns on the retina. These burns help seal retinal tears, reduce abnormal blood vessel growth, or prevent further leakage in conditions like diabetic retinopathy. 

This treatment is performed while you're awake, using anaesthetic to numb the surface of the eye. 

Why Laser Treatment Is Used 

Retinal laser treatment may be recommended for: 

  • Small retinal tears or holes
  • Diabetic retinopathy
  • Central serous retinopathy
  • Retinal vein occlusion
  • Retinal lattice degeneration (to prevent future tears) 

Vitrectomy vs Retinal Laser Treatments: Key Differences 

 

Aspect 

Vitrectomy 

Retinal Laser Treatments 

Invasiveness 

Surgical 

Non-surgical 

Anaesthesia 

Local or general 

Local and drops 

Recovery time 

Several weeks 

Usually a few days 

Used for 

More complex retinal issues 

Early or preventative treatment 

Results 

Immediate repair or stabilisation 

Slows or prevents progression 

Risks 

Infection, cataracts, retinal detachment 

Temporary blurred vision, rare complications 

 

What to Expect: Vitrectomy Procedure and Recovery 

Before surgery, your eye will be thoroughly assessed with scans and imaging. On the day of surgery, your eye will be anaesthetised, and the surgeon will make small incisions to access the vitreous cavity. 

After surgery, you may: 

  • Be asked to maintain a specific head position (especially if a gas bubble is used)
  • Be advised to avoid flying or travelling to high altitudes
  • Experience temporary blurred vision or floaters
  • Require eye drops for several weeks to aid healing 

Full recovery can take several weeks to months depending on your condition, but most patients notice gradual improvements in vision over time. 

What to Expect: Retinal Laser Procedure and Recovery 

Laser treatment is quicker and far less invasive than vitrectomy. The whole procedure usually takes about 10–15 minutes. 

During the procedure, your eye will be numbed and held open with a speculum. You might see bright flashes of light as the laser is applied. Most patients experience no pain, but some describe a mild stinging or warmth. 

After laser treatment, you may notice: 

  • Blurred vision for a few hours
  • Mild discomfort or headache
  • Light sensitivity for a day or two 

You can usually return to normal activities within 24–48 hours, though follow-up is essential to monitor progress. 

Which Treatment Is Right for You? 

Whether you need vitrectomy or retinal laser treatment depends on several factors, including: 

  • The severity of your condition
  • How much the retina has been affected
  • Whether there’s bleeding or scar tissue present
  • Your overall eye health and medical history 

At OCL Vision, your care begins with a thorough consultation with one of our world-class retinal specialists. They will carry out diagnostic imaging, explain your options clearly, and create a personalised treatment plan based on your specific needs. 

Advanced Retinal Care at OCL Vision 

We understand that any procedure involving your eyes can feel daunting. At OCL Vision, we’re committed to delivering advanced retinal care with compassion and clarity. When you choose us, you benefit from: 

  • Consultant-led care from world-class consultants
  • State-of-the-art equipment and facilities
  • Transparent pricing and flexible finance plans
  • High patient satisfaction and world-class outcomes

Whether you require surgery or laser therapy, we ensure you're fully informed and supported every step of the way. 

OCL Vision is also proud to offer an urgent care service, so we can provide treatment on the same day if required. This service can often be vision saving for our patients.  

Clarity Starts with the Right Treatment 

When it comes to managing retinal conditions, there’s no one-size-fits-all approach. Understanding the difference between vitrectomy and retinal laser treatments empowers you to make confident decisions about your vision care. 

At OCL Vision, we’re here to offer expert guidance, comprehensive support and leading-edge treatment options tailored to your needs. 

If you're experiencing changes in your vision or have been advised to consider retinal treatment, don't delay. Book your consultation with OCL Vision today and take the next step towards preserving and protecting your sight. 

The figures show that while laser eye surgery does come with risks, they may be smaller than the risk of carrying on with contacts. If LASIK goes wrong, the problems can almost always be fixed with further treatment.

You may find it useful to read the laser eye surgery patient leaflet from the Royal College of Ophthalmologists, which explains the facts about laser vision correction – and how the risks compare with contact lens use.

One of our OCL laser eye surgeons answering the question about the top laser eye surgery risks.

 

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