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VITRECTOMY & RETINAL SURGERY IN NEPAL

VITRECTOMY & RETINAL SURGERY IN NEPAL

14 August 2026
Last updated: 2 October 2026
RETINA • VITRECTOMY • FLASHES & FLOATERS • URGENT REFERRAL

Vitrectomy & Retinal Surgery in Nepal: Warning Signs, Referral & Recovery Questions

A vitrectomy is specialist eye surgery used for certain problems of the retina and vitreous. It is not treatment for ordinary blurry vision. New flashes, many floaters, a curtain-like shadow or sudden vision loss can need urgent retinal assessment.

In Kathmandu and worried about your eyes?

Book an eye exam (NPR 400 ≈ US$3) with our English-speaking optometrists in Lazimpat, Boudha or Makalbari — exams by appointment; optical shops open daily 8 AM – 8:30 PM. Card & cash accepted.

Ask on WhatsApp Book eye check

WhatsApp for Initial Guidance Call +9779841466716
Emergency warning: sudden vision loss, a dark curtain, rapidly increasing floaters, flashes with a shadow, serious eye injury or severe pain needs urgent medical assessment. Do not wait for an online reply or routine optical appointment.

What is a vitrectomy?

The vitreous is the clear gel that fills the middle of the eye. In a vitrectomy, a retinal surgeon makes tiny openings in the eye and removes some or most of this gel to treat a problem affecting the retina or vitreous. Depending on the reason for surgery, the surgeon may also use laser treatment, remove scar tissue, or place air, gas or silicone oil inside the eye.

Vitrectomy is specialist surgery. Vision Concern provides eye assessment, visual testing, optical support and referral guidance; it does not claim to perform retinal surgery. A retinal surgeon determines diagnosis, urgency, procedure choice, recovery instructions and expected results.

Why might a retinal surgeon consider vitrectomy?

Condition or problem Why surgery may be discussed Important point
Retinal detachment or retinal tear To repair/reattach the retina in selected cases Time matters; a curtain or sudden field loss is urgent.
Vitreous haemorrhage To clear blood clouding the eye in selected cases The cause must be diagnosed, including diabetes-related disease where relevant.
Macular hole or macular pucker To treat selected central-retina problems Symptoms may include distortion or reduced central detail.
Diabetic retinal disease with bleeding/scar tissue To address selected advanced retinal complications Blood-sugar and medical care remain important alongside eye treatment.

Flashes, floaters and shadows: when should you act?

Floaters are common and may be harmless, especially if they are long-standing and unchanged. But a sudden increase in floaters, new flashing lights, a veil/curtain, a missing area of vision, or new blur can be a retinal warning sign. A dilated retinal examination is the way to tell whether there is a tear or detachment; symptoms alone cannot confirm the cause.

Read Vision Concern’s existing Retinal Detachment Guide and Eye Floaters guide. If your symptoms are new or worsening, seek urgent medical assessment rather than waiting for a blog answer.

What happens around surgery?

The surgical plan is individual. A retinal surgeon may use local or general anaesthesia depending on the case and will explain the operation, risks, alternatives and follow-up plan. If a gas bubble is placed in the eye, the surgeon may give strict positioning and travel instructions. Never fly or travel to higher altitude after intraocular gas unless the treating retinal surgeon has specifically cleared it.

Question to ask the retinal surgeon Why it matters
What exactly is the diagnosis and urgency? Different retinal problems need different timing and treatment.
Will you use gas, oil, laser or another technique? This may change positioning, travel and follow-up requirements.
What recovery restrictions apply to me? Follow the surgeon’s individual advice, not a generic internet timetable.
Who should I contact after surgery if symptoms worsen? You should leave with a clear urgent-contact plan.

Vision Concern assessment and referral support

For non-emergency concerns, a Comprehensive Eye Examination can assess vision, prescription and relevant eye-health concerns. If findings or symptoms require specialist retinal care, an appropriate referral may be recommended. The examination does not replace urgent hospital assessment when danger signs are present.

Vision Concern’s trust commitments apply across routine care: ISO 9001 certified eye clinic, member of the International Opticians Association (UK), professional optical assessment, Best Patient Service Award—Ireland 2018, and three Kathmandu branches in Lazimpat, Boudha–Tushal and Makalbari. Ask via WhatsApp which branch is most practical for a non-emergency appointment.

For tourists, expats and families travelling in Nepal

Visitors should not postpone sudden retinal warning signs until they return home. If you have a stable prescription problem or need replacement glasses while travelling, Vision Concern can help through its Eye Care for Tourists & Expats service. If you have new flashes, a curtain or sudden loss of sight, seek urgent medical care first.

Need help deciding the next step?

For routine assessment, send your symptoms, which eye is affected and when they started. For sudden sight loss or a retinal emergency, arrange urgent medical assessment immediately.

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FAQs

Does everyone with floaters need vitrectomy?

No. Floaters have many causes, and surgery is only considered in selected situations by a retinal surgeon. New or changing floaters still need timely assessment.

 

Is retinal detachment painful?

It may be painless. A dark curtain, sudden flashes, floaters or loss of side vision are warning signs that need urgent evaluation.

 

Can diabetes lead to vitrectomy?

In some advanced diabetic-retinal situations with significant bleeding or scar tissue, a retinal surgeon may consider it. Regular diabetic eye reviews are important.

 

Can I fly after retinal surgery?

Do not fly if an intraocular gas bubble is present unless your treating surgeon has specifically cleared it. Follow the surgeon’s written instructions.

 

Does Vision Concern perform vitrectomy?

No. Vision Concern provides eye assessment and referral guidance; vitrectomy is performed by a qualified retinal surgeon in an appropriate surgical setting.

 

Sources and further reading

Medical content is based on the National Eye Institute vitrectomy overview, its retinal-detachment surgery guidance, and the American Academy of Ophthalmology vitrectomy guide.

 

In Kathmandu and worried about your eyes?

Book an eye exam (NPR 400 ≈ US$3) with our English-speaking optometrists in Lazimpat, Boudha or Makalbari — exams by appointment; optical shops open daily 8 AM – 8:30 PM. Card & cash accepted.

Ask on WhatsApp Book eye check

Turn this information into a personal eye-care plan

If this topic relates to your symptoms or vision, book an eye assessment at Vision Concern. Share your main concern when booking so the team can confirm the appropriate appointment or referral.

Book an eye assessment Ask about appointment times on WhatsApp See eye examination details

Replies within minutes

Yes. Many visitors, particularly from Bangladesh and West Bengal (Kolkata), come to Nepal for cataract, retina, or other eye surgery at a hospital and also want new glasses, a general eye exam, or contact lenses at the same time, before or after their procedure. Vision Concern is an optical and eye-examination clinic, not a surgical hospital, so we work alongside hospitals such as Tilganga: we are happy to see you for glasses, contact lenses, or a routine check-up either side of your surgical treatment elsewhere.

No conversion is needed. Eyeglass prescriptions from Germany, France, the UK, the USA, China, Russia, and almost every other country use the same international format, SPH (sphere), CYL (cylinder), and AXIS, measured in diopters. Our opticians read this directly, so you can bring your prescription paper, a photo of it on your phone, or simply your current glasses, and we will use the same values. If your prescription is more than a year or two old, we recommend a quick, free re-check before we make your new pair.

Yes. Above roughly 3,000 metres, UV exposure increases sharply because of the thinner atmosphere and reflection off snow, and ordinary sunglasses (category 2-3) do not block enough UV to prevent snow blindness (photokeratitis). We recommend glacier glasses or category-4 sunglasses with side shields, and can fit these with your own prescription if needed. Vision Concern offers ZEISS polarized, UV400-certified sunglasses with prescription lenses, which we can prepare before you set off on your trek.

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