A Two Forceps Technique For Approaching Tractional Diabetic Membranes.

BACKGROUND AND

OBJECTIVE

To describe a two-forceps bimanual approach for complex diabetic detachments.

PATIENTS AND

METHODS

Curved scissors were used to create a zone of decreased resistance within a thick fibrovascular membrane in a previously vitrectomized patient. Using two forceps, the linear defect was propagated into the periphery in a direction tangential to the retina. The tissue was repeatedly regrasped at the leading edge of the propagating tear, allowing for progressive separation of the hyaloid from the retinal surface.

RESULTS

Separation of the diabetic membrane and hyaloid from the retinal surface in a previously vitrectomized patient.

CONCLUSION

The authors describe a two-forceps approach for dense fibrovascular proliferation in the setting of persistently attached cortical vitreous that may be employed in cases of severe diabetic retinopathy with traction and fibrovascular membranes, even after previous vitrectomy. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:e176-e178.].