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LONDON Recent advancements in intraoperative wide-angle
visualization systems and
small-incision vitrectomy make vitreous base shaving no
longer necessary, a speaker said here.
"Though the vitreous base may theoretically play a role as a scaffold
anterior proliferative vitreoretinopathy, there is no
evidence proving that vitreous base trimming prevents or reduces the incidence
of [proliferative vitreoretinopathy]," Homayoun Tabandeh, MD, said at the
Euretina meeting. "It might, in fact, just move the scaffold
closer to the retina."
It is also a time-consuming maneuver that may lead to retinal breaks,
cataract and zonular weakness, he said.
Looking back at his series of 156 consecutive cases operated since 2006
rhegmatogenous retinal detachment, Dr. Tabandeh said that
vitreous base shaving should no longer be considered as a useful routine
"It would only add additional morbidity and surgical time," he said. "I
did not perform it in any of the patients, and my results were extremely good.
The retina was reattached in 99% of the cases, and significant improvement of
vision was obtained."
- Disclosure: Dr. Tabandeh has no relevant financial disclosures.