🔴Challenging Vitrectomy for Taut and Contracting Epiretinal Membrane - restoring the normal anatomy скачать в хорошем качестве

🔴Challenging Vitrectomy for Taut and Contracting Epiretinal Membrane - restoring the normal anatomy

This is inverted Vitrectomy Challenging Vitrectomy for Taut and Contracting Epiretinal Membrane - restoring the normal anatomy These are the preoperative OCT from the patient; there was a pretty thick epiretinal membrane attached centrally, distorting the overall retina structure The patient is aphakic and had a previous vitrectomy for an extensive retinal detachment (You may observe a very dense and hypopigmented scar tissue on the macular surface, with a reflex off the macular area) Some vitrectomy was completed to get rid of possible floating Rpe cells from the previous surgery An air fluid exchange was performed, then, so as to stain the internal limiting membrane - ILM Brilliant blue was then injected at the macular area A pinch and shave technique was carried out, so as to find an edge of the epiretinal membrane It is possible to see that the staining of the ILM had created a contrast with the lack of staining of the epiretinal tissue, thus helping in the action of peeling the epiretinal tissue The epiretinal tissue was finally found, and it could be grasped and lifted away from the retina in an “en bloc” fashion, freeing up the macula area off epiretinal tissue. Endolaser was performed as a preventative method to keep the retina attached. Another AFX was carried out You may see the postoperative retinal pictures and OCTs and compare the OCTs with the preoperative ones. The foveal shape and depression reapeared, giving the macula back its close to normal shape We appreciate your attention