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Posterior Hyaloid is the scaffold for epiretinal proliferations in PVR. Removal of posterior hyaloid is difficult because it is toughly adherent to the retina The traditional way is suction and pull by the vitreous cutter. However, this isn’t always successful. I used a Tano scraper and end gripping forceps to try to grasp and peel posterior hyaloid. This was done on:

  • Attached posterior retina under heavy liquid (PFCL)
  • Detached retina especially in recurrent PVR cases

Results:

  • Almost complete peeling of the posterior hyaloid
  • Complete intraoperative retinal reattachment