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Methods:

Routine lens removal in phakic eyes Meticulous revision of the posterior hyaloid with triamcinolone Acetonide Routine ILM Peeling using chandelier, aspheric macular contact lens, and membrane blue dual stain, under heavy liquid and attached retina. 360 laser First heavy liquid air exchange then silicone oil injection under air In air filled eye: more meticulous basal shaving, 360 laser till Ora.

Advantages:

  • No lens injury during peripheral manipulations
  • Meticulous removal of posterior hyaloid
  • No macular pucker
  • No slippage of the edges of the GRT during heavy liquid air exchange
  • Complete retinal reattachment