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Simple Bimanual Technique of Internal Limiting Membrane Retrieval
Pulak Agarwal1, Pradeep Venkatesh, Vinod Kumar
1Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Retina (Philadelphia, Pa.)
|July 11, 2020
Summary
This study introduces a new method for internal limiting membrane (ILM) retrieval during vitrectomy. The technique successfully retrieved ILM in all patients, proving safe and efficient.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Internal limiting membrane (ILM) removal is crucial in vitreoretinal surgery.
- Standard ILM peeling techniques can sometimes be challenging.
Purpose of the Study:
- To describe a novel bimanual technique for internal limiting membrane (ILM) retrieval.
- To evaluate the safety and efficacy of this new ILM retrieval method.
Main Methods:
- A 25-gauge vitrectomy was performed.
- Internal limiting membrane (ILM) was stained with brilliant blue dye and grasped with forceps.
- A 25-gauge cannula attached to a syringe with balanced salt solution was used to apply mild suction for ILM retrieval.
Main Results:
- Successful internal limiting membrane (ILM) retrieval was achieved in all attempted cases.
- The technique demonstrated high success rates in retrieving membranous tissue.
Conclusions:
- The described bimanual technique using a soft tip cannula is safe and efficient for internal limiting membrane (ILM) removal.
- This method makes membrane retrieval a predictable process in vitreoretinal surgery.

