Vitrectomy for Massive Vitreous Hemorrhage with Wide Angle and Macular Lens View скачать в хорошем качестве

Vitrectomy for Massive Vitreous Hemorrhage with Wide Angle and Macular Lens View

Title: Vitrectomy for Massive Vitreous Hemorrhage with Wide Angle and Macular Lens View You may notice the MASSIVE VITREOUS HEMORRHAGE, very dense in the mid vitreous Because the patient is phakic, we should be extra-careful not to go to peripheral, avoiding hitting the lens; so the appropriate synchronic movements of hands and eye should be accurate enough to avoid this. It is very difficult to see such detailed adherent hyaloid without a macular lens; the satisfactory view keeps you very safe with the macular approaches, and the hyaloid as well as preretinal membranes can be removed easily with the correct maneuver. It is possible to see an active bleeding vessel superotemporally, and that needs to be taken good care of, otherwise we could come up with a recurring vitreous haemorrhage in the postoperative period. So after removing all vitreous adherences, we approach the zoomed image even more so as to see that tiny vessel. The approach was to erase it with the endocautery, very careful and with low energy. Additional vitrectomy is then performed to get rid of any debris secondary to the endocautery action and to clean up any vitreous haemorrhage left. Endolaser is of upmost importance, and we add it in between the already made laser spots Laser is applied at the far periphery, as well, being extra-careful again with the lens. If you go that far temporal you move the eye nasally so that your laser shaft does not touch the lens periphery. An air fluid exchange is now performed still using the macular lens. Before coming into the eye we prefer to use the least zoom magnification so that we can see the backflush cannula and the illuminating pipe approaching. In case we wanna see even closer then we could zoom it in a bit more. That’s about it, thank you very much for your attention.