My First 27 G Vitrectomy in Subhyaloid Diabetic Haemorrhage. 50 years old man with uncontrolled diabetes for 20 years. Presented with subhyaloid hge and V/A 2/60 Other eye showed old advanced TRD and dense vitreous hge and V/A PL with GP. 27 G vitrectomy
Bimanual technique for combined rhegmatogenous and tractional diabetic RD Biamanual technique. Chandelier light. Vit. Base shaving under air. 2-3 iatrogenic breaks. Question to discuss How to avoid iatrogenic breaks? How many of you had iatrogenic break
Limited Posterior Hyloid elevation with forceps to avoid iatrogenic tears at epicenters. Delamination and segmentation using vittrectomy cutter .
Female patient , Diabetic 20 years, One eyed, other eye lost because of neovascular glaucoma, received 3 Intravireal Lucentis injections. presented with persistent Vit Hge for 4 months, VA 2/60. No previous PRP was done. Vitrectomy done with vitreous remo
Sub ILM Hemorrhage and retinal artery macroaneurysm23G Vx, Triamcinolone vitreous staining, PVDBrilliant Blue G staining under air & ILM peelingActive Aspiration of hemorrhage and flushing with flute needleEndolaser around MacroaneurysmAir/Fluid exchaFeatured
Management of submacular PFCL in absence of 41 gauge subretinal cannula
I tried to do recurrent RD under silicone oil but bleeding happened during retinectomy and we had to do silicone oil removal and continue the operation the silicone oil injection was done.
Retropupillary artisan for challenging cases of vitrectomy in RD with subluxated lenses.
In this technique , I just use the 23g vitrectomy cutter to engage the diabetic membrane, slightly elevate it and then segmenting and debulking.
•Outer zone of vitreous: -Cortex. -Most of the vitreous collagens are located in cortex and these collagen fibrils run parallel & perpendicular to retinal surface. •Central zone of the vitreous: -Little collagen compared to outer vitreous.
Inverted falp technique for large macular hole
ILM peeling under PFCL in macular hole detachment
Methods of silicone oil removal after vitrectomy
Vitrectomy for myopic retinal detachment
Female patient with complicated phacoemulsification surgery (posterior capsular tear, dropped nuclear fragment and posteriorly dislocated IOL)
Vitrectomy for Asteroid hyalosis in 55 yrs old diabetic man.
Common micro-vascular complication of DM Common cause of visual disability in working-age group. Two general subtypes: Non-proliferative DR (NPDR) Proliferative DR (PDR) Diabetic macular edema is a complication that may coexist with both subtypes
Coloured fundus photography and fluorescein angiography of a case of optic nerve avulsion after severe blunt trauma in 20 years old male patient with visual acuity ( No perception of light)