Epiretinal Membrane Peel
Surgeon: Ravi Pandit, MD, MPH | Year: 2019
Dr. Pandit performs a pars plana vitrectomy and epiretinal membrane peel for macular pucker. First, 23-gauge trochars are placed, and a core vitrectomy is performed. Next, indocyanine green is instilled to stain the internal limiting membrane (ILM). Under high magnification, an ILM flap is created, then the ILM is peeled circumferentially around the macula. Care is taken to minimize the instruments crossing the fovea to avoid phototoxicity or mechanical trauma. Finally, 360-degree scleral depression is performed to identify any retinal breaks, and an air fill is performed.
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