Divide and Conquer in Vitreous Surgery

Dr. Rameez Hussain performs a vitrectomy for high-risk proliferating diabetic retinopathy with posterior pole tractional retinal detachment involving the macula. To remove the extensive fibrovascular membranes, he starts from the periphery and progresses toward the center. After the adherent membranes are divided into smaller sections, they are carefully removed using approaches tailored toward the specific location of each section. A slip-and-roll maneuver, akin to boxing, helps to segment material located under a membrane.

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