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Methods:

I use membrane blue dual stain, chandelier illumination, and aspheric macular contact lens. I inject the stain on detached retina, then inject heavy liquid (PFCL) for reattachment. The initial ILM incision is done either:

  • Needle Strokes: Unbent 23G needle with bevel down unidirectional strokes OR
  • Forceps strokes: The closed tip of the ILM forceps in unidirectional strokes

Cases:

  • Macula OFF RRD without PVR
  • RRD with PVR
  • Macular pucker after previous RD surgery

Outcome:

  • Easy peel
  • No macular pucker or recurrence of pucker