Despite the great evolution of pars plana vitrectomy for the treatment of retinal detachment in the last decade, accomplished by the development of better vitrectomy machines, smaller size of the instruments and better illumination options, there are still some cases in which external surgery is strongly advised and may have better results and lower complications rates than vitrectomy. In this sense, the possibility of examining the retina under high magnification in the operating room, detecting small holes or tears that could be unseen while using indirect ophthalmoscopy, or having a clear idea of the relationship between the vitreous and the retina could result in a higher accuracy of the procedure and consequently lower failure rate. In the same way we examine the peripheral retina with the slit lamp and a three mirror lens in the office, we can do it during the surgical procedure. This is how cases of retinogenic detachments with small holes, or extremely peripheral minute tears can be shown by the optical section of the slit lamp combined with the strong magnification of the operating microscope, allowing a more localized, precise and less aggressive treatment of the involved zone of the retina. In opposition to indirect ophthalmoscope, as a surgical tool in external procedures, the use of the slit lamp in the operating room has the same benefits that it has in the office. Given that it is best to treat RD with the least aggressive and the safest procedure possible, the advantage that this surgical option provides is therfore invaluable.

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Cell Phone: +545316851688

Mariano Iros