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23-Gauge Vitrectomy with Brilliant Blue Assisted ILM Peeling in a High Myopic Macular Schisis

Joao Paulo Duprat, MD

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Joao Paulo Duprat, MD, shows an internal limiting membrane peeling inside a staphyloma of a high myopic eye with the diagnosis of a macular schisis. A tangential traction in the macular surface was likely caused by an epi-retinal membrane, or even the posterior hyaloid itself, clearly shown in the OCT. The peeling is assisted by brilliant blue dye and is performed during a 23 gauge vitrectomy. Two different forceps are used. ILM forceps allows a better initial separation of the ILM from the underneath retinal tissue. De Juan forceps have a greater grabbing capacity allowing the ILM to be pulled with a smaller tearing tendency. In the end of the surgery, in the moment of the first trocar, removal, a dense hemorrhage comes out by one of the sclerotomies, what is typical of a partial drainage of a choroidal hemorrhagic detachment.

Posted: 5/15/2012

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23-Gauge Vitrectomy with Brilliant Blue Assisted ILM Peeling in a High Myopic Macular Schisis

Joao Paulo Duprat, MD

Joao Paulo Duprat, MD, shows an internal limiting membrane peeling inside a staphyloma of a high myopic eye with the diagnosis of a macular schisis. A tangential traction in the macular surface was likely caused by an epi-retinal membrane, or even the posterior hyaloid itself, clearly shown in the OCT. The peeling is assisted by brilliant blue dye and is performed during a 23 gauge vitrectomy. Two different forceps are used. ILM forceps allows a better initial separation of the ILM from the underneath retinal tissue. De Juan forceps have a greater grabbing capacity allowing the ILM to be pulled with a smaller tearing tendency. In the end of the surgery, in the moment of the first trocar, removal, a dense hemorrhage comes out by one of the sclerotomies, what is typical of a partial drainage of a choroidal hemorrhagic detachment.

Posted: 5/15/2012

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