How to Manage Residual Subretinal Fluid during PPV

In this video, Dr. Khalid Sabti demonstrates his approach for managing residual subretinal fluid. The 48-year-old patient had diabetes, and presented with declining vision over 3 months due to tractional retinal detachment. Using smaller gauge vitrectomy, membrane separation and dissection is performed without inducing any retinal breaks. Peeling of the hyaloid should be carefully performed to prevent retinal breaks. Forceps are used to pulled posterior thick membranes from the disc and the macular region. Subretinal fluid was drained using a transscleral approach; intraocular pressure is raised during drainage and when removing the drainage needle. Endolaser was applied to end the case.