Here’s a recent video of one of our surgeons repairing a pseudophakic macula-on Giant Retinal Tear (GRT) with pars plana vitrectomy. ⁠

The steps are highlighted and despite having a diffractive multi-focal IOL, peripheral view remained excellent throughout the case. ⁠

The use of Perfluorocarbon heavy liquid as a surgical device has greatly improved surgical times and results. ⁠

The anterior flap is removed to reduce the risk of ciliary body traction. Careful fluid-air exchange is essential to avoid any slippage of the retina. ⁠Long acting gas was left as the tamponade rather than silicone oil.

This patient should have no visual deficits from this retinal detachment or surgery. ⁠
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Every case is different but what’s your preferred way to manage GRTs?

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