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April 1992

Suction Elevation of Epiretinal Membranes

Author Affiliations

Chicago, Ill

Arch Ophthalmol. 1992;110(4):449. doi:10.1001/archopht.1992.01080160027009

To the Editor.  —The surgical treatment of patients with macular pucker from epiretinal membrane formation has become increasingly common with the advent of new vitreoretinal techniques. Typically, after vitrectomy is performed, an edge of the epiretinal tissue is elevated with a bent needle or membrane pick, enabling the membrane to be grasped and removed with forceps. It is often difficult to identify an accessible membrane edge, particularly in patients with idiopathic epiretinal membranes, and intraoperative complications, such as bleeding and/or creation of retinal tears, can occur. We recently used an alternative technique to facilitate the elevation and removal of epiretinal tissue in our patients with idiopathic epiretinal membranes.

Surgical Technique.  —A standard three-port vitrectomy setup is used. Deep vitrectomy is performed, with the complete removal of all formed vitreous over the posterior pole. A 20-gauge soft-tipped extrusion cannula (Model 149.52, Grieshaber, Schaffhausen, Switzerland) is introduced just over the surface of

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