File number: 107097
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By Manish Nagpal, MD, FRCS (UK), FASRS
- Uploaded on Jan 6, 2023.
- Last modified by Joshua Friedman on Jan 6, 2023.
- Appears in
- vitrectomy, retinal detachment, macular pucker, forceps, peeling
- Vitrectomy for Subsilicon ERM removal. This is a case of Retinal detachment with PVR which had earlier underwent Vitrectomy with silicon oil. Now the patient was posted for Silicon oil removal and there was a macular pucker/epiretinal membrane which required removal. I prefer to remove the membrane with the oil in situ in such cases. There retinas can redetach easily if one peels the membrane directly under fluid and hence its safer to do it under oil. Here I use a 25-gauge forceps to carefully peel it tangentially. It is quite adherent but peels of leaving a few haemorrhages and folds on posterior pole. I also inject PFCL after removal of membrane to iron the posterior pole. After that Silicon oil removal is done normally as planned.