Simple Bimanual Technique of Internal Limiting Membrane Retrieval

Retina. 2023 Jul 1;43(7):1198-1199. doi: 10.1097/IAE.0000000000002903. Epub 2020 Aug 13.

Abstract

Purpose: To describe a novel technique of internal limiting membrane retrieval.

Methods: A 25-gauge vitrectomy was performed in all patients. After internal limiting membrane (ILM) peeling (after brilliant blue dye staining), the ILM was held with the forceps in the midvitreous cavity and a 25-gauge cannula mounted on a 2 mL of balanced salt solution-filled syringe was introduced. When the tip of the cannula made contact with the ILM, mild suction was applied, and the ILM was retrieved in the syringe.

Results: Internal limiting membrane retrieval was successful in the all the patients attempted.

Conclusion: To conclude, bimanual technique of membranous tissue removal using a soft tip cannula under direct visualization is a safe and efficient technique that makes membrane retrieval a predictable process.

MeSH terms

  • Basement Membrane / surgery
  • Epiretinal Membrane* / surgery
  • Humans
  • Retina
  • Retinal Perforations* / surgery
  • Retrospective Studies
  • Sodium Chloride
  • Staining and Labeling
  • Vitrectomy / methods

Substances

  • Sodium Chloride