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Surgical Pearl Video
Edited by Tina Felfeli, MD
How to repair Eales’ disease TRD
Tips for surgical repair of a tractional retinal detachment with full-thickness macular hole secondary to a rare form of retinal vasculitis.
Vitrectomy under oil
The silicone sandwich technique for managing recurrent retinal detachments.
Intraoperative surprise with PFO
Handling a rare case of intraoperative perfluorooctane loss secondary to a defect near the optic nerve.
How to do intraretinal artery tPA injection
A stepwise approach to intraretinal artery cannulation for injection of tissue plasminogen activator into the central retinal artery.
Pearls for fovea-sparing ILM peeling
A potentially effective strategy for avoiding postoperative macular hole formation in myopic traction maculopathy.
Two-trocar approach to endophthalmitis
A minimalist technique for enhancing surgical outcomes for acute endophthalmitis in pseudophakic eyes.
Pearls for transretinal tumor biopsy
Steps to improve your chances of performing a successful transretinal tumor biopsy.
The case for Kenalog
A micro-minority of us use it, with most others preferring ICG or BB. Here’s why you should join us.
Handling a GORE-TEX-sutured IOL
A review of key steps that will avoid suture twisting and lens tilt.
Scleral-fixated IOLs: A modified approach
An optimization of methods to improve efficiency when managing a scleral-fixated intraocular lenses in the operating room.
Pearls for righting aqueous misdirection
How to do a pars plana vitrectomy with irido-zonulo-hyaloidectomy when laser and medical therapy fail.
Subretinal blebs, sans retinotomy
This atraumatic technique uses a soft-tip on proportional reflux for creating subretinal fluid blebs.
Removing retained PFO/SO mixture
This technique uses an 18-gauge angiocatheter to remove fluid left behind after surgery for complex retinal detachments.
Strategies for PVD induction
A review of surgical methods to aid in posterior vitreous detachment induction.
Managing a challenging RD
Repair of a retinoschisis-associated retinal detachment in a pregnant patient.
Passive PFO-SO exchange
A technique for actively injecting silicone oil while passively extruding peruorocarbon with a backush cannula.
Removing thick subretinal PVR bands
Subretinal proliferation is a well-known component of proliferative vitreoretinopathy. Here’s how to deal with it.
Pearls for epiretinal membrane peeling
Proper visualization and positioning are key to achieving a successful peel.
A low-cost, one-person depressor
A technique for performing illuminated scleral depression for peripheral vitrectomy without an assistant.
Pearls for scleral buckling with tunnels
These six tips can help you place the buckle more efficiently and safely.
Tips on chandelier buckling
Some considerations for exploring or refining the use of chandelier illumination during scleral buckle surgery.
Pearls for foreign body removal
The fine art of using internal and external magnets to extract magnetic foreign bodies.
Scleral windows for choroidal effusions
This procedure can improve uveoscleral outflow, but careful patient selection and management of expectations are important.
Fixing a malpositioned infusion cannula
Setting it right during pars plana vitrectomy can avoid serious complications later on.
Pearls for complex diabetic TRD repair
Patience and persistence are key to relieving the tractional forces on the retina.
Refractory optic pit maculopathy surgery
This approach for this challenging operation uses an internal limiting membrane flap as a ‘plug.’
Never use two steps when one will do
Step-saving tips when isolating rectus muscles and performing membrane peeling.
Pearls for RD repair after ruptured globe
Ten tips to help in the preparation and execution of these often complicated cases.
The Yamane technique optimized
A modification of the highly regarded approach to intraocular lens scleral fixation.
Novel approach to traumatic macular hole
Human amniotic membrane is used to create a scaffold-like structure to close a large hole.
Minimally invasive IOL deposit removal
This surgical approach to introacular lens opacities utilizes a flex loop.
A far reach: PPV in highly myopic eyes
Pearls for performing a pars plana vitrectomy in pathologic myopia.
Diagnostic Vitrectomy, Biopsy Tips
These steps before and during the procedure can improve your chances of obtaining sufficient samples.
Modified ILM Flap for Refractory Holes
A modified approach to internal limiting membrane flaps in eyes with a previous ILM peel.
Endoillumination Without an Assistant
A technique to perform peripheral vitreoretinal surgery with chandelier endoillumination independently.
Draining Choroidal Detachments
A look at cut-down and cannula-based approaches to achieve external drainage of hemorrhage.
Advance-and-Cut for Fishhook Removal
Having large-gauge wire cutters at the outside is critical.
Air and Oil: Friend and Foe
Pearls for using or removing an air bubble to ensure a perfect silicone oil fill.
Tic-Tac-Toe to Solve SO Migration
A modified, minimalistic technique for silicone oil retention sutures.
A Heads-up, 3D View on Surgery
Trying out a new digital surgical microscope.
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