Close | |
Figure 1: Intra-operative still images of the surgical management of stage 5 ROP. (a) A clear corneal peripheral 23G MVR entry is being made in the inferotemporal quadrant for the 25G infusion cannula. (b) Three clear corneal entry wounds are shown with snugly fit 25G instruments in the anterior chamber. Lensectomy has been performed. 23G MVR is being used to create an opening in the thick retrolental membrane. (c and d) The opening in the retrolental membrane is enlarged carefully with the vitrectomy cutter, which exposes the folded retinal tissue posteriorly for further dissection. (e) An irrigating plano-concave contact lens provides high magnification for deep posterior dissection and overcomes the corneal wrinkles. (f) The instruments have been removed and the corneal entry wounds have been hydrated. Air has been injected in to the anterior chamber to maintain its stability |
|