Surgical Pearls

Extended ILM Peeling for PVR

This technique can help prevent recurrent retinal detachment by completely removing traction and the scaffold for reproliferation.

Taku Wakabayashi, MD, PhD, and Yoshihiro Yonekawa, MD

Submacular Hemorrhage Managed With Subretinal tPA

This patient achieved good visual outcomes with vitrectomy and subretinal tPA.

Lauren Kiryakoza, MD, and Justin H. Townsend, MD

Implanting Encapsulated Cell-Based Gene Therapy

Add MacTel therapy to your surgical armamentarium.

Thomas M. Aaberg Jr, MD; Charles C. Wykoff, MD, PhD, FASRS, FACS; and Liliya Sutherland, DO

Differentiating RD TYPES: A Case for Ocular Imaging

OCT helped us identify and manage a case of exudative retinal detachment.

Zhuojun Guo, MD, PhD; Ahmed Shakarchi, MD, MPH; and Sami Uwaydat, MD

The Pressure Is On: A Case of Ocular Ischemia

Beware of acute central retinal artery hypoperfusion during pars plana vitrectomy.

J. Daniel Diaz, MD, and Ninel Z. Gregori, MD

Doubling Down on Traumatic Macular Hole Management

The double inverted internal limiting membrane flap technique may offer another treatment option for these patients.

Jose Luis Montiel Zamora, MD; Carlos Andres Valdes Lara, MD, FICO; and Abril Itandehui Miranda Lopez

A New Technique for Myopic Traction Maculopathy

Learn about wristwatch macular buckling and how we have optimized the procedure.

Nikoloz Labauri, MD; Tekla Mamageishvili, MD; Monika Zalinian, MD; and Supriya Dabir, MD, PhD

A Peritomy-Sparing Approach for Scleral Buckle in Pediatric RRD

This technique helps maintain conjunctival integrity and maximize ocular surface recovery.

Miguel Cruz-Pimentel, MD, and Rajeev H. Muni, MD, MSc, FRCSC

Managing Uveitis in the OR

When cataract surgery or vitrectomy is indicated, keep these tips in mind.

Natasha Kesav, MD, and Danny A. Mammo, MD

Considerations for Combined Phacoemulsification Vitrectomy

All-in-one or staged approach? Here’s what we have learned in our practice.

James Dossett, MD; Christine Clavell, MD; Ami Patel, MD; and Ghassan Ghorayeb, MD, MBA

Pediatric Retinal Detachment Associated With FEVR

Pearls for managing this condition in the OR.

Vishal Agrawal, MD, FRCS, and Ayushi Gupta, MS

An Odd Case of Hypotony: The Value of Ultrasound

This case became more complex after complications due to a historical scleral buckle procedure.

Rusdeep Mundae, MD; Michael Engelbert, MD; and Yale Fisher, MD

Managing Large Macular Holes: ILM Flap vs Peel

The literature continues to identify scenarios in which one technique is more effective than the other.

Kaitlyn Richards, BS, and Ankoor R. Shah, MD

A Surgical Approach to Vasoproliferative Tumors

This case example shows why taking some patients to the OR may be the best option.

Samantha Goldburg, MD; Jennifer Adeghate, MD; and Talia R. Kaden, MD

Myopic Traction Maculopathy in a Surgical Setting

Here’s why technique selection and instrumentation are key.

Elham Sadeghi, MD, and Jay Chhablani, MD

3D Printing in Vitreoretinal Surgery

This new technology may one day become a major player in ophthalmology.

Yuri V. Chaban, MD(C), MEng; Siddhartha Mukherjee, BSc(C); Samantha M.A. Orr, MD; and Netan Choudhry, MD, FRCSC

Surgical Drainage of Large Macular Cysts in Coats Disease

Consider this approach in cases of retinal edema after ineffective laser or pharmacologic therapies.

Rodney Fong, MS, and Glenn Yiu, MD, PhD

No More Forceps: A Cutter-based Approach to ILM Peeling

This technique could reduce surgical time, improve patient satisfaction, and save on instrument costs.

Scott Walter, MD, MSc, and Simon Archambault, MD, MSc

Prevention of Post-Vitrectomy Retinal Detachments

The debate continues on whether to use scleral buckling, vitrectomy, or both.

Steve Charles, MD, FACS, FICS, and Adam Pflugrath, MD

Vitrectomy for Uveitis

Taking the patient to the OR may be helpful when dealing with diagnostic dilemmas or complications.

Sruthi Arepalli, MD