Pars plana vitrectomy (PPV) provides the most effective treatment for floaters as it offers a definitive cure with complete resolution of symptoms. However, this procedure is invasive with the possibility of complications such as endophthalmitis, retinal tears and detachments, cataract formation, glaucoma, vitreoretinal hemorrhage, and macular edema . Therefore, it is important to only advocate vitrectomy to cure floaters for patients who understand the desired surgical goal and accept the risks, albeit minimal, and who have objective findings of visual dysfunction, such as contrast sensitivity or decrease in visual acuity. We use small gauge instruments 25 or 27-G and sutureless technique with vitrectomy limited to the removal of vitreous opacities avoiding posterior vitreous detachment. Video will illustrate this technique.

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Jean Paul Berrod