Abstract

During vitrectomy for diabetic tractional retinal detachment (TRD) the ease of membrane dissection is dependent on identification of secondary membranes. The fibrovascular proliferations often have an edge attached to the hyloid face. This however gives a false plane and makes dissection difficult. This video will demonstrate the identification of the secondary membranes and consequently the cleavage plane using either a pick fashioned out of a hypodermic needle or using Triamcinolone. This way the surgery is more atraumatic and prevents iatrogenic trauma to the underlying retina.