File number: 106088
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By Manish Nagpal, MD, FRCS (UK) ,FASRS
- Uploaded on Jan 2, 2023.
- Last modified by Joshua Friedman on Jan 25, 2023.
- Appears in
- vitrectomy, PDR, TRD, tractional retinal detachment, diabetic retinopathy, proliferative diabetic retinopathy (PDR), forceps, peeling, cutter, endolaser, PRP, video
- Vitrectomy for PDR and TRD using Cutter based dissection| This is a case of subhyaloid hemorrhage and Tractional retinal detachment in a diabetic patient. The subhyaloid hemorrhage is aspirated using the cutter . 25 gauge bevelled cutter is used to dissect all the epiretinal proliferations and tractional components. The ports of these cutters can reach very close to the retinal surface and cut flush without causing any iatrogenic damage to the retinal surface. Forceps are used to peel adherent membranes Bleeders are stopped raising pressure and applying diathermy. Once the retina is flattened endolaser is done 360 degree to achieve long term regression.