Search

Why not strip all three layers at once?

Niloofar Piri, MD, Tongalp Tezel, MD

Show Description +

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

Keywords:

ILM Peeling

•

Posterior vitreous detachment, PVD

•

Retina

Up Next

[2019] Amniotic Membrane Placement for Repair of Recurrent Macular Hole

[2019] Amniotic Membrane Placement for Repair of Recurrent Macular Hole

Stanislao Rizzo, MD

Pinhole Effect in Double Peel for Macular Hole

Pinhole Effect in Double Peel for Macular Hole

Hudson de Carvalho Nakamura, MD

Triple Procedure With Chronic Macular Hole, Subluxated IOL, and Retinal Detachment

Triple Procedure With Chronic Macular Hole, Subluxated IOL, and Retinal Detachment

Frederic Aissani, MD

Macular Hole Surgery: Retinal Massager

Macular Hole Surgery: Retinal Massager

Manish Nagpal, MS, DO, FRCS(UK)

Iatrogenic Macular Hole After TPA Injection for Submacular Hemorrhage

Iatrogenic Macular Hole After TPA Injection for Submacular Hemorrhage

Frederic Aissani, MD

The Big Mac: ILM Technique for Large Macular Holes

The Big Mac: ILM Technique for Large Macular Holes

Hudson Nakamura, MD

ILM Peel for Macular Hole Under Liquid PFC

ILM Peel for Macular Hole Under Liquid PFC

Hudson Nakamura, MD

My Peeling Technique for a Dense Plaque on the Posterior Capsule

My Peeling Technique for a Dense Plaque on the Posterior Capsule

Ashraf Armia, FRCSG, FACS

Experience a New Dimension: How Eyetube3D Works!

Experience a New Dimension: How Eyetube3D Works!

25-Gauge Vitrectomy for Retained Lens Fragments

25-Gauge Vitrectomy for Retained Lens Fragments

Yoreh Barak, MD, Lana Rifkin, MD, Omar Saleh, MD, Shlomit Schaal, MD, PhD

Why not strip all three layers at once?

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

Keywords:

ILM Peeling

•

Posterior vitreous detachment, PVD

•

Retina

Please log in to leave a comment.

More in Retina

Racial/Ethnic Disparities in TDR, DME, and Other Vision Threats in Patients With DR

Racial/Ethnic Disparities in TDR, DME, and Other Vision Threats in Patients With DR

Jordan Deaner, MD; Rehan Hussain, MD; and Vaidehi Dedania, MD

Managing Endophthalmitis: Tap-and-Inject or Immediate Vitrectomy?

Managing Endophthalmitis: Tap-and-Inject or Immediate Vitrectomy?

Samir N. Patel, MD and Maria H. Berrocal, MD

Emily Y. Chew, MD, the 2025 Lifetime Achievement Awardee

Emily Y. Chew, MD, the 2025 Lifetime Achievement Awardee

Emily Y. Chew, MD and R.V. Paul Chan, MD, MSc, MBA

The Business of Retina at VBS

The Business of Retina at VBS

Esther L. Kim, MD and Basil K. Williams Jr, MD