A Two Forceps Technique For Approaching Tractional Diabetic Membranes.

Background And Objective: To describe a two-forceps bimanual approach for complex diabetic detachments.

Patients And Methods: Curved scissors were used to create a zone of decreased resistance within a thick fibrovascular membrane in a previously vitrectomized patient. Using two forceps, the linear defect was propagated into the periphery in a direction tangential to the retina. The tissue was repeatedly regrasped at the leading edge of the propagating tear, allowing for progressive separation of the hyaloid from the retinal surface.

Results: Separation of the diabetic membrane and hyaloid from the retinal surface in a previously vitrectomized patient.

Conclusion: The authors describe a two-forceps approach for dense fibrovascular proliferation in the setting of persistently attached cortical vitreous that may be employed in cases of severe diabetic retinopathy with traction and fibrovascular membranes, even after previous vitrectomy. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:e176-e178.].