Steps of vitrectomy in vitreous hemorrhage
by Boral Subhendu Kumar

Retina & Vitreous Surgery: A Practical Guide to Theory, Practice and Management

by Subhendu Kumar Boral, Suber S Huang
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This video demonstrates of vitrectomy in vitreous haemorrhage. Both anterior and core vitrectomy are to be completed with high suction (around 200–400 mm Hg) and low cutting rate (around 4000cpm) for fast removal of vitreous. One should be careful with posterior lens capsule in phakic cases to avoid lens touch. This is important to stain mostly invisible residual vitreous as well as posterior vitreous cortex. The process of lifting up of posterior hyaloid from the retinal surface is called induction of posterior vitreous detachment. TA-stained posterior hyaloid face is to be removed to gain access to the retinal surface. Peripheral vitrectomy should be always done keeping the low suction and maximum cutting rate (shave mode). Free flow of fluid indicate completion of vitrectomy. Vitreous base excision should be done by external scleral depression by a blunt-tipped depressor. Endolaser around the cauterized bleeders as well as full scatter and fluid air is done.

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