Vitreoretinal surgery increasingly implies elimination of the posterio
r hyaloid. Many different surgical techniques have been described. The
aspiration of the posterior hyaloid with a flexible silicone cannula
and posterior separation with an illuminated spatula is the most frequ
ently used. We herein describe a slight variation of this technique th
at makes the dissection of the posterior hyaloid easier in cases in wh
ich it has a strong attachment to the retina. We have used this techni
que on 12 patients (7 with choroidal neovascularization and 5 with idi
opathic macular hole [1 patient with stage 2 and 4 patients with stage
3]) with strong attachment of the posterior hyaloid to the retina, im
mediately obtaining in all cases the separation of bath structures wit
hout complications.