Dr. Sean D. Adrean, Retina Consultants of Orange County, Fullerton, CA, shares his surgical video outlining his amniotic membrane graft technique. His 57-year-old Hispanic female had several previous surgeries for proliferative diabetic retinopathy with PRP laser, so an autologous retinal transplant was not a viable option and her peripheral retina was not healthy.

Sean D. Adrean, MD

Pre-op VA: CF

Amniotic membrane can be difficult to introduce through valved cannulas. It helps to use a Bimanual technique with the soft tip cannula and vitrector. I prefer to pre-size the amniotic membrane graft. It needs to be smaller; however, larger than the area that will be covered.

In this particular case, tucking the amniotic membrane graft underneath the retina and into the macular hole is required to get the MH to close. It requires graft to be positioned properly and diligence to ensure its well centered. Additional laser is needed; complete air fluid exchange and inject silicone oil at the end of the case.

PO VA: 20/200+2

Dr. Adrean can be reached via e-mail – seadrean@yahoo.com