LAUSR

PURPOSE To introduce a new surgical technique with a beveled vitrectomy probe for the removal of peripheral vitreous cortex remnants (VCR) in primary rhegmatogenous retinal detachment (RRD). METHODS This study was a retrospective case series. From September 2019 to June 2022, 54 patients with complete or partial posterior vitreous detachment that underwent vitrectomy for primary RRD by a single surgeon were enrolled. DESCRIPTION OF TECHNIQUE After staining the vitreous with triamcinolone acetonide, the presence of VCR was assessed in detail. If VCR was present, the macular VCR was removed using surgical forceps, and then a free flap of peripheral VCR was used as a handle for removing peripheral VCR using the beveled vitrectomy probe. Of the total patients, the presence of VCR was confirmed in 16 patients (29.6%). There were no intraoperative or postoperative complications, except for retinal re-detachment caused by proliferative vitreoretinopathy, that occurred in only one eye (1.9%). CONCLUSIONS Using a beveled vitrectomy probe was a practical solution for removing VCR during RRD vitrectomy as additional instruments were not needed and risk of iatrogenic retinal damage was low.