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Increased axial length
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Increased distance between sclerotomies
|
Ad hoc straight or curved instruments
|
|
Use of 20-G instruments
| |
|
Removal of trocars
| |
|
Epiretinal tissues visualization
|
Chromovitrectomy
|
iOCT
|
|
Filters
|
3D
|
|
Dye toxicity
|
Place a substance over the fovea (e.g. PFCL, sodium hyaluronate, autologous blood)
|
Devices to inject gently the dye (Drip dropper, SideFlo cannula)
|
|
Filters
|
iOCT
|
|
ILM peeling
|
Start at least 1 DD from the fovea
|
Diamond Dusted Membrane Scraper
|
|
Start from temporal or inferior quadrants
|
FINESSE Flex loop
|
|
Elevate preexisting edge using the back of a needle, a MVR blade or vertical scissors
| |
|
PFCL bubble to stabilize retina
| |
|
Lift the flap a bit more than usual
| |
|
MH closure
|
ILM non-peeling
|
Inverted ILM flap (complete, 270° temporal C-shaped variant, 180° superior variant, Viscoat-assisted)
|
|
ILM peeling
|
Injection over the hole of autologous platelet-rich plasma, autologous transplantation of ILM membrane, lens capsular flap, neurosensory retina
|
|
Shaving vitreous base in eyes with clear lens
|
Choice of instruments (valved trocars, small G instruments)
|
Non-contact wide field viewing systems
|
|
Trocar insertion at 4 mm
|
Ad hoc curved instruments
|
|
Peripheral indentation
|
Brush the peripheral retina (Diamond Dusted Membrane Scraper, FINESSE Flex loop)
|
|
Hand switching
| |
|
Bending of standard instruments
| |
|
Sclerotomy leakage
|
Biplanar scleral insertion
|
Triplanar scleral insertion
|
|
Wound construction (Longer tunnel, narrow angle of insertion, parallel to the limbus, bevel-down incision)
|
27-G instruments
|
|
Sclerotomy massage
|
Other techniques to close the wound (releasable sutures, tissue glue, polyethylene glycol-based hydrogel bandage, conjunctival cauterization
|
|
Transconjunctival and transcleral absorbable suture
| |
