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@@pavan7432-- 6/18

My pleasure!

Thanks friend

Sony PMW10 MD 3 chip camera on Haag striet Hi R Neo with EIBOS

Hope it helps u manage your cases better

Yes you can do that

Happy that you found the video useful / interesting

The cautery is battery operated sourced from Enor, Mumbai, but available with many vendors . Yes , ball point heat cautery can be used too .

This was Alcon which I used to use a lot in the past .. but now I prefer Aurolab foldable as I feel the haptic is better suited for making a bulb with cautery and is thicker than Alcon haptic .

@@sharadbhomaj9936 does aurloab haptic goes through 30 g needle sir

@@sharadbhomaj9936 which company 30 g needlev

thru TSK 30 g thin wall needle , yes . Else try BD 27 / 26 G

Good visualisation with intelligent use of light pipe and BBG dye . A good ILM forceps . For posterior membranes, peel under PFCL using BBG . For peripheral membranes , tricort & BBG sequentially. I use a bent tip of a 26G 1 inch needle to fashion a sharp pick to tease the membranes and go bimanual if needed . Some surgeons do extensive ILM peel of the inferior retina , but it isnt always possible .I prefer a encircling band and oil with minimal laser in inferior PVR . Retinectomy only if it cant be avoided.

@@sharadbhomaj9936 absolutely sir thank you much for your valuable guidance..

@@cherry2k794 what's your name by the way and where are u located

@@cherry2k794 thanks 😊

For epiretinal placement as in this case it doesnt matter . But in subretinal placement for macular holes ,Stan Rizzo says the stromal side should face the RPE .I suggest u stain the epithelial side with BBG before u insert it inside the eye to do ensure this orientation.

@@sharadbhomaj9936 thank u sir..

Not needed . Can complicate things further

@@sharadbhomaj9936 Thank you Sir for kind reply..

Primarily indicated for retinal incarceration sites with PVR and significant choroidal disruption due to FB / penetrating injuries . So primarily for posterior segment trauma .

Ok will prepare it

@@sharadbhomaj9936 Thank you Sir!!

Hope it helps u

EIBOS 2 with Haag striet microscope . Sony 3 chip HD camera

@@sharadbhomaj9936 sir is Haag street microscope affordable for the ones who are starting fresh vrsx practice.what is the price of EIBOS .your videos are crisp clear with excellent surgical manoeuvers.thank you sir😀.I love the instrumental music u put behind.

No antibiotic used in irrigating fluid . 1/2 strength vancomycin + ceftazidime injected after oil injection . Culture negative . Complete excision of necrotic retina and exudates ensured there was no postop recurrence. Patient doing well after okl removal .

@@sharadbhomaj9936 thank u s much . Well done

I only laser the breaks in all cases as I don't think 360 laser is needed if u have done good vitreous base shaving and have ensured no missed breaks .

Alcon constellation , Hi R Neo with EIBOS

No, simple flute canula . Silicon tip is ideal

Thanks for your encouraging comments

@@sharadbhomaj9936 sir another query did u use angled forceps to remove subretinal band through peripapillary reigion

@@cherry2k794 straight forceps

Thanks

Thanks

Thanks for watching

Thanks for watching

Thanks for watching

Thanks

Thanks

1.In this case , I prefered the trans scleral route as the penetration site was quite anterior and oblique and the major part of FB was lying externally. .Also it was bit dangerous to push a large sharp FB inside which could have the risk of injuring the macula or healthy retina . The FB was quite firmly impacted in the sclera. 2. A FB lying entirely intraocularly or projecting inside thru a very posterior location is better approached ergonomically by ab interno approach . 3. A posteriorly located FB needs to be removed trans sclerally if most of the FB is lying externally . The FB should be extracted trans sclerally, wound secured with sutures and only then one can proceed with vitrectomy as a second sequential step . 4.I guess we need to trust our gut feeling based on the ergonomics involved and accurate preop FB localization whenever possible .

Thanks for watching , warmest regards !!