Cataract surgery is commonly performed after vitrectomy and is often expected, as cataracts frequently progress more quickly afterwards.
Factors supporting surgery
Clearer lenses help reveal the benefit of the earlier retinal operation.
- Significant cataract forming months or years after vitrectomy
- Retina now stable enough to benefit from improved clarity
- Better visualisation for any ongoing retinal monitoring or treatment
- Use of monofocal lenses to maximise contrast in a previously operated eye
- Tailored counselling about realistic visual potential given retinal status
Surgical considerations
Vitrectomised eyes behave slightly differently.
- Deeper anterior chamber and more mobile lens-capsule complex during surgery
- Higher risk of capsular or zonular issues in some cases
- Need for careful biometry if the eye has also had scleral buckling or gas
- Close postoperative monitoring for macular oedema or pressure changes
- Coordination with the retinal surgeon regarding timing and follow‑up
