Outer retinal injury secondary to membrane peeling with internal limiting membrane forceps

Rishabh C. Date, Emmanuel Y. Chang, Veeral S. Shah

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Purpose:To present a case of visually significant retinal injury due to internal limiting membrane (ILM) peeling using ILM forceps alone.Methods:Case report.Results:A 60-year-old woman who underwent ILM peeling for an epiretinal membrane presented with linear central scotomata. Peeling had been initiated and performed with ILM forceps alone, without the use of other surgical instruments. Fundus examination and spectral domain optical coherence tomography imaging confirmed the presence of several discrete areas of inner and outer retinal injury in the macula, which corresponded to her scotomata.Conclusion:This is a case of visually significant retinal injury due to ILM peeling that was performed with ILM forceps alone. Improper peeling technique can transmit injurious forces to the retina. Surgeons must be mindful of the biomechanical forces involved in ILM peeling to minimize traction on the retina.

Original languageEnglish (US)
Pages (from-to)251-255
Number of pages5
JournalRetinal Cases and Brief Reports
Volume15
Issue number3
DOIs
StatePublished - May 1 2021

Keywords

  • internal limiting membrane forceps
  • internal limiting membrane peel
  • membrane peeling

ASJC Scopus subject areas

  • Ophthalmology

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