One of the specifications which can lead to a vitreoretinal incarceration is a high number of entries / exits in the sclerotomy, especially when the anterior vitreous around the sclerotomy is not removed. In order to reduce this risk, the author uses a forceps which contains a tubing connected to the vitrectomy machine pump. This tubing allows:

  • to inject the ILM blue
  • to remove the ILM blue
  • to evacuate small pieces of membrane / ILM just after their dissection

The number of entries / exits therefore is limited to two: one for the vitreous cutter, one for the aspirating forceps.