**Author details**

Lik Thai Lim\* and Ahmed El-Amir

\*Address all correspondence to: likthai@gmail.com

Dear Authors, please add affiliations, Country

## **References**


Retinectomy joining temporal breaks can be done in the superior peripheral arches 180°.

If sheets of hyaloid in posterior pole are left behind, this will invariably worsen the TRD leading to blindness and phthisical eye. Therefore, it is imperative to remove all the hyaloids sheets especially within the arcade of the macula. If outside the macula arcade, small islands can be left behind if too adherent to remove, as small islands do not have the tendency to contract to cause TRD (as it is not connected or networked with other islands of posterior pole hyaloids).

When delaminating, there is a need to quickly establish a surgical plane separating hyaloids from the fibrovascular tissue. Iatrogenic breaks can be laser pexied and drained to flat if possible (under heavy liquid)—in such cases, silicone oil needs to be considered. There may

This chapter describes the basic skills and pitfalls to avoid in VR surgery, which we hope will be especially useful to the novice and intermediate-level VR surgeons. The advanced VR

The above cases would have represented most of the VR case mix that the average VR surgeon will encounter in their daily practice. We hope that after reading this chapter, this will serve as a platform for further reading and practice, to improve the standards of VR surgery and

[1] Eckardt C. Transconjunctival sutureless 23-gauge vitrectomy. Retina 2005;25:208-11.

[2] Fujii GY, De Juan E Jr., Humayun MS, et al. A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery. Ophthalmology 2002; 109:1807-12.

surgeons may also find this chapter useful with some innovative surgical approach.

be a need to try different direction of peel for a good hyaloids peel.

enhancing patient safety and surgical outcomes of the readers.

and Ahmed El-Amir

Dear Authors, please add affiliations, Country

\*Address all correspondence to: likthai@gmail.com

**Case 27: Diabetic TRD**

160 Advances in Eye Surgery

**4. Conclusion**

**Author details**

Lik Thai Lim\*

**References**
