Here’s a recent video of one of our surgeons repairing a pseudophakic macula-on Giant Retinal Tear (GRT) with pars plana vitrectomy.
The steps are highlighted and despite having a diffractive multi-focal IOL, peripheral view remained excellent throughout the case.
The use of Perfluorocarbon heavy liquid as a surgical device has greatly improved surgical times and results.
The anterior flap is removed to reduce the risk of ciliary body traction. Careful fluid-air exchange is essential to avoid any slippage of the retina. Long acting gas was left as the tamponade rather than silicone oil.
This patient should have no visual deficits from this retinal detachment or surgery.
Every case is different but what’s your preferred way to manage GRTs?
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