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Gentle endodiathermy of retinal vessels to mark paravascular posterior retinal breaks in highly myopic eyes

Abstract

Purpose

To show a new method to highlight posterior paravascular retinal breaks, responsible for posterior retinal detachment in highly myopic eyes, by gentle endodiathermy on the nearby retinal vessel, in areas of patchy chorioretinal atrophy.

Methods

A standard 25-gauge (25-G) 3-port pars plana vitrectomy with internal limiting membrane (ILM) peeling was performed. A gentle endodiathermy was applied on the vessel close to the retinal break until a clear withe spot became visible. This spot was used as a landmark to identify the retinal break after fluid-air exchange.

Results

The retina was attached after a single operation and no retinal redetachment was reported. A complete blood flow restoration in the treated vessel was documented with fluorescein angiography after 5 days.

Conclusions

This simple technique may help the vitreoretinal surgeon to identify paravascular retinal breaks after fluid-air exchange. No damage to the retinal vessels undergoing endodiathermy was observed.

Post author correction

Article Type: SURGICAL TECHNIQUE

Article Subject: Vitreo SURG

DOI:10.5301/ejo.5001057

Authors

Giuseppe D’Amico Ricci, Antonio Pinna, Francesco Boscia, Giancarlo Sborgia, Ermete Giancipoli

Article History

Disclosures

Financial support: No financial support was received for this submission.
Conflict of interest: None of the authors has conflict of interest with this submission.

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Authors

Affiliations

  • Department of Surgical, Microsurgical, and Medical Sciences, Section of Ophthalmology, University of Sassari, Sassari - Italy
  • Department of Ophthalmology, Azienda Ospedaliero-Universitaria (AOU) di Sassari, Sassari - Italy
  • Department of Basic Medical Sciences, Neuroscience and Sense Organs, Azienda Ospedaliero-Universitaria (AOU) Policlinico di Bari, Bari - Italy

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