Vitreoretinal disease – a battle of wills between patients and doctors Compared to surgical treatment of other diseases in ophthalmology, vitreoretinal disease is not something that every ophthalmologist can face; you can do glaucoma surgery, you can do cataract surgery, but vitrectomy surgery is not always involved. The complexity of the instruments and equipment and the limitations of the surgical operation determine the special nature of the fundus doctor’s battle with it. The fundus retina is the “brain” of our eyes and the camera base. If there is a problem, it cannot be replaced like changing the lens of a camera in cataract surgery, or rerouting the atrial fluid to control IOP like glaucoma surgery. This is the goal of the vitreoretinal surgeon. The retina is a thin layer of nerve tissue, and the vitreous is a jelly-like substance that is as sticky as egg white. Vitreoretinal disease itself also requires doctors with good physical fitness, close cooperation between patients and surgeons, careful preoperative examination and surgical preparation, the fine operation of the doctor during surgery and the enemy’s seemingly close combat in the mud, postoperative patient’s difficult postural cooperation, in short, patients and doctors facing retinal vitreous disease, need our whole body and mind to put into battle. Therefore for the prevention of the disease occurrence needs our attention. For the precursors of retinal detachment – the sudden increase of dotted black shadows in front of the eyes, the appearance of flashing sensation in front of the eyes, and the blocking of large black shadows in the visual field – it is important to go to the hospital specialist in time. For diabetic retinopathy, good control of blood glucose, early imaging and timely laser photocoagulation after the onset of retinopathy are effective ways to prevent the development of the lesion. For hypertensive fundus hemorrhage, patients need to actively monitor their blood pressure and do not need to worry once the hemorrhage occurs, as long as they go to the hospital for regular checkups and are treated with medications to activate blood circulation and remove blood stasis, the general hemorrhage can be absorbed, except for large recurrent hemorrhages, and some vision can be obtained after vitrectomy. Patients with high myopia should avoid strenuous activities, go to the hospital for regular eye examinations, check the fundus, detect degeneration of the retina and, if necessary, laser closure of the degenerative zone and the fissure to prevent problems before they occur. The essence of the ancient Chinese medical thinking – good medicine treats the last disease and gives up without fighting is our best strategy for vitreoretinal diseases.