Induction of Macular Detachment for Treatment of Persistent Full Thickness Macular Hole

This video demonstrates induced macular detachment for the management of persistent or refractory idiopathic macular holes. This technique involves the creation of serous macular detachment by injecting a balanced salt solution into the subretinal space through multiple retinotomies within the major retinal vascular arcades using a subretinal cannula connected to a syringe. Once the salt-solution infusions connect with the macular hole, fluid–air exchange is performed followed by injection of C3F8 gas into the vitreous cavity.