Dr.DR ASHWANI KUMAR

, Dr.Aditya Kelkar, Dr. (Mrs.) KELKAR JAI ADITYA

Abstract

Incomplete separation of posterior vitreous occurs because of strong residual attachments between retina and vitreous especially at the fovea causing vitreo-macular traction (VMT). Majority of these eyes present with visual disturbances such as deteriorated vision and metamorphopsia, therefore necessitating the need for surgical intervention in the form of vitrectomy.This procedure at times results in macular hole due to de-roofing of the ILM during vitrectomy or due of persistent traction at fovea.We present a vidoegraphic demonstration of advanced VMT case treated with novel technique avoiding de-roofing of macula and formation of iatrogenic macular hole.

25G PPV done .Triamicinalone acetonide assisted PVD induction was done leaving a residual vitreous plug at the fovea followed by ERM staining with retiblue. Meticulous ERM peeling done, with removal of vitreous plug intentionally left behind.ILM peeling and SF6 tamponade used. Normal foveal contour confirmed on OCT after 1 Mn