JUL 28, 2020
Retina/Vitreous, Vitreoretinal Surgery
In this video, Drs. Rajeev Muni, Eli Kisilevsky and David Ta Kim present pearls for performing pars plana vitrectomy following a failed pneumatic retinopexy (PnR). Although PnR is a safe and effective method for achieving a high integrity retinal reattachment, some patients require rescue pars plana vitrectomy to reattach the retina; this should be carried out soon after PnR failure to maximize functional outcomes. Several modifications are necessary in these cases including strict pre- and postoperative positioning, careful removal of intravitreal gas at the outset and careful shaving of the peripheral vitreous.
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