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A Two Forceps Technique For Approaching Tractional Diabetic Membranes.
Ophthalmic Surgery, Lasers & Imaging Retina
|June 25, 2019
Summary
This study introduces a novel two-forceps bimanual technique for surgically managing complex diabetic retinal detachments. This method effectively separates fibrovascular membranes and hyaloid from the retina, even in challenging, previously operated eyes.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Retinal Detachment
Background:
- Diabetic retinopathy often leads to complex retinal detachments with dense fibrovascular membranes.
- Previous vitrectomy can complicate the management of these detachments.
Purpose of the Study:
- To describe a novel two-forceps bimanual surgical approach.
- To address complex diabetic retinal detachments with persistent fibrovascular proliferation.
Main Methods:
- Utilized curved scissors to create a zone of decreased resistance in fibrovascular membranes.
- Employed a two-forceps technique to propagate a linear defect tangentially to the retina.
- Progressively separated the hyaloid and membrane from the retinal surface by repeatedly regrasping the leading edge.
Main Results:
- Successfully achieved separation of the diabetic membrane and hyaloid from the retinal surface.
- Demonstrated efficacy in a previously vitrectomized patient.
Conclusions:
- The two-forceps bimanual approach is effective for dense fibrovascular proliferation in severe diabetic retinopathy.
- This technique is suitable for cases with traction and membranes, even after prior vitrectomy.
