Vitrectomy for asteroid hyalosis is rarely necessary but may be indicated for impaired visualization of the retina (even with alternative imaging modalities), for application of laser photocoagulation (such as PRP), or more rarely when the asteroid bodies are visually significant. Vitrectomy in cases of asteroid hyalosis can be challenging to the frequent absence of a PVD or due to the presence of vitreous schisis. Our guest surgeon is Dr. Ignacio Navarro, a first-year vitreoretinal fellow at Clinica Oftalmologica del Caribe in Barranquilla, Colombia. He and his attending, Dr. Luis C. Escaf, perform a vitrectomy on a patient with visually significant asteroid bodies. They use triamcinolone staining and intra-operative OCT to nicely highlight vitreous anatomic findings. Thank you Drs. Navarro and Escaf for sharing this case!
