Visualising vitreous through modified trans-scleral illumination by maximising the Tyndall effect

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Background:A new technique for visualisation of the vitreous base is described. It uses a standard lightpipe for scleral indentation and transillumination. Visualisation of the vitreous using low light levels can be achieved by enhancing the Tyndall effect.Discussion:Perfluorocarbon liquid (PFCL) is used to confine the aqueous environment to the anterior vitreous cavity and triamcinolone is added to increase light scatter. The technique clearly differentiates vitreous from PFCL and infusion fluid, and facilitates trimming of the vitreous base, draining of subretinal fluid and air/fluid exchange.

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