ABSTRACT

Introduction:

Causing iatrogenic retinal tears during membrane peeling inside the vascular arcade during epiretinal membrane (ERM) or internal limiting membrane (ILM) peeling is a common complication, especially of young VR-surgeons.

Method:

Retrospective review of all cases with iatrogenic retinal tears during membrane peeling inside the vascular performed by one surgeon (OF)

Results:

During the membrane peeling in three macular hole surgeries and of two ERM surgeries an iatrogenic retinal tear occurred inside the vascular arcade. The treatment consisted of a complete ILM-peeling inside the vascular arcade, SF6 (except in one patient) and 5 days face-down positioning. No laser photocoagulation was applied. No retinal detachment (RD) occurred.

Discussion:

With adequate treatment of iatrogenic retinal tears during membrane peeling inside the vascular arcade the risk for RD is very low. Due to the risk of retinal damage when peeling macular membranes one must not start to peel close to the fovea or in between the disc and the fovea in order to avoid any form of retinal damage in that sensitive area.


CONTACT DETAILS

 

Otto FRICKE
University Medical Center Linköping
Department of Ophthalmology
Linköping
Sweden
Email : Otto.fricke@web.de