Islam bechakh » Miscellaneous

Oct 14 2021 by Islam bechakh

A vitrectomy is performed in our 25 G transconjunctival patient after careful decontamination of the cul-de-sacs by washing with povidone-iodine (Betadine®) 5% for 2 minutes. The panoramic system associated with the operating microscope makes it possible to control the traction on the retinal periphery and to facilitate the manipulation of the dye (Brilliant Blue G) during the surgery. The peeling of the membrane is extended to the whole macular area by trying, by a superficial grip begun in the sub-foveolar, to peel only the membrane. The internal limiting is then stained a second time and the total or partial decision is discussed on a case-by-case basis depending on the severity of the retraction and the type of diffuse or cystoid edema.

Photographer: Islam Bechakh

Condition/keywords: Epimacular membrane, vitrectomy

Oct 14 2021 by Islam bechakh

A 32-year-old man, who has presented for 02 months, a macular hematoma secondary to a Valsalva maneuver. He benefited from an attempt to open the hematoma with a Yag laser, but to no avail. We operated on and performed a 23G vitrectomy with posterior vitreous detachment, and discovered an epiretinal membrane which separated the hematoma from the posterior hyaloid. After removal of this membrane and aspiration of red blood cells and fibrin, the macula regained a normal appearance with good functional recovery.

Photographer: Islam Bechakh

Condition/keywords: epiretinal membrane (ERM), ERM, Macular hematoma, Valsalva maneuver