{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:40:44Z","timestamp":1787312444703,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,12,7]],"date-time":"2018-12-07T00:00:00Z","timestamp":1544140800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>\n                      Unremoved vitreoschisis\u2010induced vitreous cortex remnants (\n                      <jats:styled-content style=\"fixed-case\">VCR<\/jats:styled-content>\n                      ) are associated with macular pathology. When present on the retinal periphery, they may play a role in proliferative vitreoretinopathy and retinal detachment after vitrectomy. Existing instruments for their removal involve substantial risk of iatrogenic retinal damage. Purpose of this study was to evaluate the use of a new technique, Vitreous Wiping, for removal of\n                      <jats:styled-content style=\"fixed-case\">VCR<\/jats:styled-content>\n                      during vitrectomy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Proof\u2010of\u2010concept case series of six eyes (six patients) treated with vitrectomy for various pathologies (macula\u2010on and macula\u2010off retinal detachment, macular hole, macular pucker and vitreous floaters). Vitreous cortex remnants on the surface of the retina were visualized with triamcinolone and removed by Vitreous Wiping with a rectangular piece of polyvinyl alcohol (\n                      <jats:styled-content style=\"fixed-case\">PVA<\/jats:styled-content>\n                      ) held with intra\u2010ocular forceps. Visual acuity and clinical course were assessed during a follow\u2010up of 6\u00a0months. All eyes underwent postoperative macular optical coherence tomography. Eyes without preoperative macular pathology, underwent retinal sensitivity testing and eyes without paracentral pathology underwent visual field analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Vitreous cortex remnants could be removed completely in all eyes. There were no intra\u2010 or postoperative complications. We observed that\n                      <jats:styled-content style=\"fixed-case\">PVA<\/jats:styled-content>\n                      is soft like a sponge and vitreous sticks to it, making Vitreous Wiping easier and safer, compared to alternative instruments. Visual acuity improved in all eyes. Microperimetry and visual field analysis revealed no abnormalities related to Vitreous Wiping.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Vitreoschisis\u2010induced VCR can be removed effectively and safely from the retinal surface by Vitreous Wiping. Larger studies are needed to confirm this promising finding and its potential impact.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aos.13991","type":"journal-article","created":{"date-parts":[[2018,12,8]],"date-time":"2018-12-08T00:51:04Z","timestamp":1544230264000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Vitreous Wiping, a new technique for removal of vitreous cortex remnants during vitrectomy"],"prefix":"10.1111","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5425-7210","authenticated-orcid":false,"given":"Koen A.","family":"van Overdam","sequence":"first","affiliation":[{"name":"Department of Vitreoretinal Surgery The Rotterdam Eye Hospital Rotterdam the Netherlands"},{"name":"The Rotterdam Ophthalmic Institute Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter G.","family":"van 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