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Timothy Murray, MD, MBA, Victor M. Villegas, MD
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Victor M. Villegas, MD, narrates a procedure performed with Timothy G. Murray, MD, MBA, using the Constellation Vision System (Alcon) and a valved 23-gauge trocar set.
Posted: 8/22/2017
Timothy Murray, MD, MBA, Victor M. Villegas, MD
Victor M. Villegas, MD, narrates a procedure performed with Timothy G. Murray, MD, MBA, using the Constellation Vision System (Alcon) and a valved 23-gauge trocar set.
Posted: 8/22/2017
![[2019] Amniotic Membrane Placement for Repair of Recurrent Macular Hole](https://d33x7gwyb2b5z6.cloudfront.net/eyetube/thumbs/gldaw.jpg?auto=compress,format&w=180)
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Barbara Parolini
7 years ago
I definitely think that you did not peel the ILM. You poured the ILM on the vitreous cortex and easily removed it from the optic nerve and macula with the vitrector. You should have stained again with an ILM staining to verify. Many small holes might close only inducing a PVD like you did. BARBARA PAROLINI, ITALY
Mostafa Hanout
7 years ago
Allen C.: totally agree with you. Thanks for your useful comment.
oleg unguryanov
7 years ago
It is posterior hyaloid.
Sriharanathan Poopalaratnam
7 years ago
wonderful surgery what are the parameters used in suction-vacuum ,IOP
Allen Chiang
7 years ago
If you use ICG prior to inducing a PVD (most macular hole cases do not have complete PVD) you will get staining of ILM. Some folks use this instead of triamcinolone. Inducing a PVD then allows for ILM to come with it in some areas, which may in some cases create a rent in ILM, as it may be adherent to the hyaloid. Once elevated, the cutter can be used to complete the ILM peel. However, in cases where there is already PVD, using a cutter to start a ILM peel is dangerous if not impossible. This is an interesting video, but with modern forceps there is no reason to try this method here.
Chris Fuller, MD
7 years ago
Interesting video, certainly, but I would have also liked to see restraining for verification. Maybe I am a lesser surgeon, but I have not had much luck aspirating off the ILM in a large, satisfying swathe after initiating a rent (although I do universally use 27g).
Victor Villegas
7 years ago
ICG does not stain the vitreous or the hyaloid. For more information regarding different dyes in vitreoretinal surgery I recommend Stephen J. Ryan RETINA Volume III Fifth Edition Chapter 127: Pharmacology at Surgery.
Florian Balta
7 years ago
I would consider the possibility of cellophane maculopaty
mohamed Soliman
7 years ago
I agree! That's the posterior hyaloid! Restaining would be useful in these cases
LILIANA AROSEMENA
7 years ago
Hello Dr Murray and Villegas, my name is Lily Arosemena, retina specialist from Panama city. I would like to know how you do to make the break on the ILM, suction only? what suction power? can you share your parameters please? on 23 Gauge? thank you !!
SHALABH SINHA
8 years ago
Looks like posterior hyaloid peeling to me. The glistening seen when you begin the peeling near the arcade is a sure sign of posterior hyaloid.
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