Primary Vitrectomy

Primary vitrectomy has largely replaced bucking procedures because the procedure requires less experience, is more controlled and the retina is attached at the end of  the intervention. The steps are as follows.

Three port vitrectomy access, core vitrectomy, liquid perfluorocarbon, vitreous base shaving, eventually removal of the flap of the horseshoe tear,  PFCL and BSS exchange against air to release subretinal fluid through the retinal hole, laser-or kryo-retinopexy around the hole and eventually 360 retinotomy, air-SF6 or C3F8 exchange.