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Dr R. Alejandro Guerra and Dr Victor Flores from Vision Express Medical in Saint Lucia show their new technique in a 56 years old female patient with myopic traction maculopathy with lamellar macular hole and macular retinal detachment in her left eye. In this unique approach after the ILM is peeled, the peripheral retina is detached and relaxed with a retinotomy. So the retina glides over the posterior staphyloma to be definitely reattached with the macular hole closed under gas tamponade. Stable fluidics provided by the Continuous Flow Cutter and SPEEP pump from the OS 4. More about the OS 4: http://bit.ly/os4nextgeneration Chapters: 00:00 - 00:10 Introduction 00:10 - 00:35 Etipathogenesis - multifactorial phenomenon 00:35 - 00:51 Previous and current treatments 00:51 - 01:14 Case description 01:14 - 01:24 Setup and equipment 01:24 - 01:46 Core vitrectomy 01:46 - 02:00 Peripheral vitrectomy 02:00 - 02:47 ILM peeling 02:47 - 03:57 Inducing retinal detachment 03:57 - 04:10 Securing posterior pole with heavy liquid 04:10 - 05:27 Peripheral circular retinotomy 05:27 - 06:01 Overfilling 06:01 - 06:17 Confluent laser at the retinotomy 06:17 - 06:36 Heavy liquid aspiration & anatomical result 06:36 - 06:52 Outro Follow us on Social Media: Facebook: https://bit.ly/oertlifacebook LinkedIn: https://bit.ly/oertlilinkedin Instagram: https://bit.ly/oertliinstagram NOT AVAILABLE FOR SALES IN THE U.S. #retinaldetachment #vitrectomy #retinotomy