File number: 107095
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By Manish Nagpal, MD, FRCS (UK), FASRS
- Uploaded on Jan 4, 2023.
- Last modified by Joshua Friedman on Jan 25, 2023.
- Appears in
- vitrectomy, retinal detachment, diabetic retinopathy, TRD, endolaser, forceps, peeling, diathermy, video
- Vitrectomy for PDR and TRD and subhyaloid haemorrhage using Cutter based dissection along with the use of a forceps. The subhyaloid haemorrhage is cleared first using aspiration of the cutter after making a opening in the hyaloid. A 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 is also used to gently peel off a adherent proliferation. Bleeders are stopped raising pressure and applying diathermy. Once the retina is flattened endolaser is done 360 degree to achieve long term regression.