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Harry W. Flynn, Jr, MD
Miami, Fla

Roy D. Brod, MD
Danville, Pa

Arch Ophthalmol. 1990;108(1):20-21.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Various instruments have been advocated for surgical removal of epiretinal membranes, including a hooked needle¹ or similar barbed instruments. Viscodelamination using a viscoelastic solution has been recommended for separating selected fibrovascular epiretinal membranes in severe diabetic retinopathy.²

A small percentage of epiretinal membranes may be centered on the macula and have no easily identifiable edge to facilitate removal. We used the soft-tipped extrusion needle³ to successfully elevate the edge of the epimacular membrane in two patients in whom conventional instrumentation was potentially hazardous.

Report of Cases.

—CASE 1.

—A 64-year-old woman presented with a translucent epiretinal membrane in the macula causing secondary retinal distortion and reduction of visual acuity to 20/200 OS. Using a standard three-port pars plana approach, the central formed vitreous was removed with a vitreous cutter. Because of marked adherence of the membrane to the retina without a well-defined edge, the use of . . . [Full Text PDF of this Article]

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