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25G Pseudophakic Retinal Detachment Repair without a Surgical Assistant

Eric Weichel, MD, performs 25 gauge PPV pseudophakic retinal detachment repair without the use of a surgical assistant. The core vitrectomy was followed by injection of Perfluorocarbon liquid up to the posterior vitreous base. Triescence was then placed over the perfluorocarbon liquid and the vitreous base was shaved 360 degrees using a scleral depressor in one hand and the vitreous cutter in the other hand. Perfluorocarbon liquid was filled to the ora serrata and endolaser with scleral depression was performed bimanually showing both a curved and straight Iridex illuminated 25 gauge endolaser probe.

Comments (2)

Josh-This technique also works for phakic RDs and is much safer since the surgeon has the scleral depressor in one hand the vitreous cutter in the other hand. This technique avoids the possibility of an inexperienced surgical assistant depressing the lens into the vitrector or endolaser probe.

Eric Weichel (129 months ago)

Great video. I use the same approach as well for pseudophakes. What approach do you use in a phakic patient?

Josh (129 months ago)