Managing Subretinal Membranes Secondary to Proliferative Vitreoretinopathy

In this surgical video, Drs. Arjun Sood and Rishi Singh manage a patient with extensive subretinal membranes secondary to proliferative vitreoretinopathy (PVR) with retinal detachment. After removing the silicone oil, a posterior retinectomy was performed to access the subretinal membrane. An attempt to elevate this tissue with forceps failed, so the subretinal membranes were trimmed to reveal a choroidal detachment with choroidal blood entering the eye. The pressure was temporarily increased and a marble of PFO was placed on the macula and the posterior pole. Forceps were then used to pull the retina from folding as the PFO was instilled. Once the PFO was placed past the retinectomy, endolaser was applied. One month after the procedure, the patient had an attached retina.

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