Tractional Retinal Detachment Repair with Subretinal Hemorrhage Removal

In this surgical video, Dr. Enchun Liu performs a 25-gauge vitrectomy for a 57-year-old diabetic female with a chronic vitreous hemorrhage. Preoperatively, B-scan ultrasounds revealed a possible tractional retinal detachment. During surgery, he clears the vitreous hemorrhage and confirms the diabetic tractional retinal detachment. He notes that the patient also had a thick chronic subretinal hemorrhage above the superotemporal arcade. In order to re-attach the macula, he enlarges a retinal hole and removes the organized subretinal hemorrhage with serrated jaw forceps. Postoperatively, the patient's vision improved from hand motion to 20/200 at 1 month.   

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