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Niloofar Piri, MD, Tongalp Tezel, MD
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Tongalp Tezel, MD, and Niloofar Piri, MD, present a solution for an intraoperative problem. During a 27G vitrectomy surgery of a 70-year-old patient with incomplete PVD and ERM, we encountered strong vitreoretinal attachments that resulted in the failure of mechanical PVD induction by simple aspiration of the of the posterior hyaloid with the vitrector tip. A practical solution was to peel posterior hyaloid along with epiretinal membrane and ILM en block. For this purpose, we stained patches of the exposed ILM with ICG and removed all three layers en bloc using the Eckhardt's forceps. The surgery was completed with endolaser and partial air/fluid exchange. [No narration]
Posted: 12/10/2013
Niloofar Piri, MD, Tongalp Tezel, MD
Tongalp Tezel, MD, and Niloofar Piri, MD, present a solution for an intraoperative problem. During a 27G vitrectomy surgery of a 70-year-old patient with incomplete PVD and ERM, we encountered strong vitreoretinal attachments that resulted in the failure of mechanical PVD induction by simple aspiration of the of the posterior hyaloid with the vitrector tip. A practical solution was to peel posterior hyaloid along with epiretinal membrane and ILM en block. For this purpose, we stained patches of the exposed ILM with ICG and removed all three layers en bloc using the Eckhardt's forceps. The surgery was completed with endolaser and partial air/fluid exchange. [No narration]
Posted: 12/10/2013
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