FEB 02, 2017
In this video, Dr. Rajiv Anand demonstrates his technique to repair a giant, 150° retinal tear. To begin the vitrectomy, Dr. Anand creates 3 sclerotomies to rotate the eye upwards in the direction of the giant tear and uses kenalog to identify the vitreous. To ensure easy unrolling, a low-lying buckle may be performed at this phase to free the edges of traction due to PVR. After introduction of air, a perfluorocarbon liquid (PFCL) bubble is gradually inflated to flatten the retina and drain persistent subretinal fluid from under the tear, followed by PFC-air exchange to dry the edge. A slow, gentle laser burn is initiated at the dry edge and then 360° along the periphery. The procedure is finished with a long-acting gas tamponade.