Abstract

Epiretinal membranes (ERM) are very common after vitrectomy especially RD surgeries. Vit with silicon oil often unable to restrict its development. Oil removal and ERM peeling may be a choice but usually delayed till retina is stably attached. For early membranes, ERM removal under the silicon oil, keeping the oil in situ has a great potential of visual improvement. Also, it doesn’t hamper the natural healing process and maintains good tamponade effect. In this video, a newer technique of ERM removal under the silicon oil is being demonstrated in 7 eyes. The purpose is to perform ERM removal without removing the oil for a better visual outcome even if Retina is unstable during early post operative period. The procedure uses 2 ports instead of three i.e., without the infusion system. Simple membrane peeling forceps was used and the oil was left in situ intact. At the end a droplet of intravitreal triamcinolone was injected for better and quick recovery.