Surgical Pearl Video

Edited by Tina Felfeli, MD

An unexpected intraocular foreign body

After globe repair and pars plana lensectomy, a plastic IOFB on the macula came into view.

Surgical management of diffuse choroidal hemangioma

How to use external drainage of subretinal fluid in exudative retinal detachment secondary to diffuse choroidal hemangioma.

A novel approach to MH-RD in an infant

Tenon’s capsule and amniotic membrane grafts to manage a rare bilateral macular hole-related retinal detachment.

Fibrotic patch autograft for deroofing in TRD

One approach to management of an unexpected and challenging case of foveal deroofing in tractional retinal detachment.

PFO for pars plana lensectomy

Tips for using perfluoro-n-octane to protect the macula from unintentional trauma that dropped intraocular foreign bodies may cause.

Another tweak on the Yamane technique

This approach substitutes 27-ga trocar cannulas for the 30-ga needles.

How to repair Eales’ disease TRD

Tips for surgical repair of a tractional retinal detachment with full-thickness macular hole secondary to a rare form of retinal vasculitis.

Vitrectomy under oil

The silicone sandwich technique for managing recurrent retinal detachments.

Intraoperative surprise with PFO

Handling a rare case of intraoperative perfluorooctane loss secondary to a defect near the optic nerve.

How to do intraretinal artery tPA injection

A stepwise approach to intraretinal artery cannulation for injection of tissue plasminogen activator into the central retinal artery.

Pearls for fovea-sparing ILM peeling

A potentially effective strategy for avoiding postoperative macular hole formation in myopic traction maculopathy.

Two-trocar approach to endophthalmitis

A minimalist technique for enhancing surgical outcomes for acute endophthalmitis in pseudophakic eyes.

Pearls for transretinal tumor biopsy

Steps to improve your chances of performing a successful transretinal tumor biopsy.

The case for Kenalog

A micro-minority of us use it, with most others preferring ICG or BB. Here’s why you should join us.

Handling a GORE-TEX-sutured IOL

A review of key steps that will avoid suture twisting and lens tilt.

Scleral-fixated IOLs: A modified approach

An optimization of methods to improve efficiency when managing a scleral-fixated intraocular lenses in the operating room.

Pearls for righting aqueous misdirection

How to do a pars plana vitrectomy with irido-zonulo-hyaloidectomy when laser and medical therapy fail.

Subretinal blebs, sans retinotomy

This atraumatic technique uses a soft-tip on proportional reflux for creating subretinal fluid blebs.

Removing retained PFO/SO mixture

This technique uses an 18-gauge angiocatheter to remove fluid left behind after surgery for complex retinal detachments.

Strategies for PVD induction

A review of surgical methods to aid in posterior vitreous detachment induction.

Managing a challenging RD

Repair of a retinoschisis-associated retinal detachment in a pregnant patient.

Passive PFO-SO exchange

A technique for actively injecting silicone oil while passively extruding peruorocarbon with a backush cannula.

Removing thick subretinal PVR bands

Subretinal proliferation is a well-known component of proliferative vitreoretinopathy. Here’s how to deal with it.

Pearls for epiretinal membrane peeling

Proper visualization and positioning are key to achieving a successful peel.

A low-cost, one-person depressor

A technique for performing illuminated scleral depression for peripheral vitrectomy without an assistant.

Pearls for scleral buckling with tunnels

These six tips can help you place the buckle more efficiently and safely.

Tips on chandelier buckling

Some considerations for exploring or refining the use of chandelier illumination during scleral buckle surgery.

Pearls for foreign body removal

The fine art of using internal and external magnets to extract magnetic foreign bodies.

Scleral windows for choroidal effusions

This procedure can improve uveoscleral outflow, but careful patient selection and management of expectations are important.

Fixing a malpositioned infusion cannula

Setting it right during pars plana vitrectomy can avoid serious complications later on.