25 Gauge Vitrectomy For Idiopathic Macular Hole | Retina Specialist | Lakeland | Winter Haven скачать в хорошем качестве

25 Gauge Vitrectomy For Idiopathic Macular Hole | Retina Specialist | Lakeland | Winter Haven

25 gauge vitrectomy to repair an idiopathic macular hole is performed with the assistance of ICG-dye (indocyanine green). The vitrectomy is performed as an outpatient. After the "core" vitrectomy is completed, I can then safely operate on the retinal surface. There is more of chance of causing a retinal tear without first completing the vitrectomy. ICG dye is then used to stain the ILM (internal limiting membrane) which is a component of the normal retinal surface. Removing this off the surface of the retina allows the macular hole to shrink or close, the goal of surgery. After the ILM is removed, careful examination of the retina is conducted to insure that no retinal hole or retinal tears were created during the operation. Gas is then used to fill the eye. I like to use a mixture of C3F8 gas. Face down positioning after the operation is required to allow the macular hole to shrink or close. This is probably achieved through the laws of surface tension and is why the gas is so important. Thanks for watching and following! Nader Moinfar, M.D. Retina Specialist Lakeland, Winter Haven, Zephyrhills, Lake Mary www.NaderMoinfarMD.com