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Endolaser cerclage^ is a very reasonable recommendation in eyes undergoing vitrectomy for trauma. The procedure creates a new ora serrata (Fig. 2.9.8) with a very low complication rate80 but offers substantial benefits [63]. This new ora serrata is likely to encompass the entire area where retinal tears develop. It also destroys tissue that may be responsible for the release of inciting agents partially responsible for PVR development. Performing laser cerclage during surgery as a prophylaxis means that subsequent opacification of the media will not interfere with laser delivery if it were to become necessary for a newly developing pathology.

78 There is need neither for lengthy wound preparation nor for wound closure at the end of surgery.

79 A term coined by R. Morris, Birmingham, Alabama.

80 EMP in 1-3% and occasionally mydriasis if the two horizontal meridians received too heavy treatment.

Fig. 2.9.8 Endolaser cerclage. Vitrectomy has been performed in this eye for a contusion-related vitreous hemorrhage. A new ora serrata has been created to prevent retinal detachment from a potential (unidentified) retinal break. Such breaks can occur years after the injury but may also be caused by the surgery itself

Fig. 2.9.8 Endolaser cerclage. Vitrectomy has been performed in this eye for a contusion-related vitreous hemorrhage. A new ora serrata has been created to prevent retinal detachment from a potential (unidentified) retinal break. Such breaks can occur years after the injury but may also be caused by the surgery itself

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