J Retin.  2023 May;8(1):67-71. 10.21561/jor.2023.8.1.67.

Case Reports on Removal of Vitreous Cortex Remnants Using a Beveled Vitrectomy Probe in High Myopia: the Shovel and Lift Technique

• Hwang SH
• Eun JS
• Lee Kw
• Lee DY
• Nam DH

• KMID: 2552127
• DOI: http://doi.org/10.21561/jor.2023.8.1.67

Abstract

Purpose
To describe a shovel and lift technique using a beveled vitrectomy probe for removing vitreous cortex remnants in highly myopic eyes.
Case summary
Retrospective review of a single-center series of cases with high myopia operated with a beveled vitrectomy probe. The shovel and lift technique with a 23-gauge beveled vitrectomy probe was used after visualizing vitreous cortex remnants on the retinal surface with triamcinolone. Once the margin of the vitreous defect was found, it was attached to the port of the beveled vitrectomy probe and lifted like a shovel gently using high vacuum mode.
Conclusions
The introduction of a beveled vitrectomy probe simplified the removal of vitreous cortex remnants in eyes with high myopia, which was previously extremely challenging.

Keyword

Beveled vitrectomy probe; High myopia; Vitreous cortex remnants