Epimacular Membrane

File number: 85112


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    • By Islam bechakh
      hôpital central de l'armée
      Co-author(s): ASRS
    • Uploaded on Oct 14, 2021.
    • Last modified by Islam bechakh on Oct 15, 2021.
    Appears in
    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.

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