Video Presentation

Planned surgical macular detachment

Video Details

First Author: A.Ohayon ISRAEL

Co Author(s):    A. Rubowitz                             

Abstract Details


To present 2 cases which underwent pars plana vitrectomy (PPV) and planned macular detachment for 2 distinct diagnoses: the removal of a large foveal hard exudate in one diabetic patient (video of surgery included) and a traumatic full thickness macular hole (FTMH) with adhesive and attached distant margins probably untreatable with standard PPV in a second patient (preop and postop images included).


Ophthalmology Department, Meir Medical Center, Kfar-Sava, Israel


The two patients underwent PPV, posterior hyaloid peel and subretinal macular basic salt solution (BSS) injection causing iatrogenic transient macular detachment.


In both cases the surgical anatomical outcomes were excellent, however without significant functional visual improvement.


Surgical macular detachment may be a good surgical solution for challenging cases of foveolar specific pathologies.

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