Abstract

SummaryPediatric vitreoretinal surgery has a different philosophy from adult surgery. It has its own rules, own complications, does not forgive faults, does not accept apologies. The eye is very small, there is a narrow space for maneuvers (15‐19mm). Lens is relatively large, vitreous‐retina relation is different, pars plana has not developed, sclera is thin and elastic. Posterior hyaloid is tightly attached. PFCL and Silicon oil is rarely used. They do not obey the head positioning! Retinal breaks usually ends up with surgical failure. PVR is frequent and severe! There is an additional amblyopia problem. We will talk about the details of these problems and the solution of them in ROP, PFV, Coats and FEVR cases.

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