DR. USHMA VORA

, Dr. MAHESH P. SHANMUGAM, Dr. RAJESH RAMANJULU, DR. DIVYANSH MISHRA

Abstract

Purpose : A Case Based Surgical Guide on techniques of achieving adequate hemostasis intraoperatively while performing Diabetic Vitrectomy.

Synopsis :

Bleeding in the initial phase of surgery may not allow completion of the surgery or may result in worsening of the pathoanatomy in the presence of a pre-existing/ iatrogenic retinal break close to the bleeder and bleeders towards the end of surgery may result in delayed visual rehabilitation. Some bleeders need immediate attention and some can be left to clot spontaneously. Not all bleeders need to be cauterised and meticulous clot dissection (after allowing spontaneous clotting as against cautery) at the end of the surgery can also result in achieving similar anatomical results with the added advantage of avoiding iatrogenic occlusion of the cauterised vessels. This video will highlight details of these finer aspects of achieving appropriate homeostasis in diabetic vitrectomy .