JUN 14, 2019
Retina/Vitreous, Vitreoretinal Surgery
In this surgical video, Dr. Deependra Singh and his colleagues combine 3 methods to manage proliferative diabetic retinopathy (PDR) with foveal neovascularization: bimanual dissection, cutter-assisted segmentation and posterior hyaloid stripping. The patient was a 60-year-old male with advanced cataract with macular traction and neovascularization close to the fovea. His vision was 20/800, and he received preoperative anti-VEGF 6 weeks prior to surgery The surgeons performed bimanual dissection using forceps and scissors, unimanual cutter-assisted segmentation and cautious PVD induction. Air tamponade was used at the end of surgery. By postop day 10, the patient had an attached retina and his vision improved to 20/200.
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