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although feasible, sheathotomy did not lead to a significant visual improvement in our patients. Dissection of the arteriovenous crossing could have induced vascular trauma. Furthermore, vitrectomy with posterior hyaloid detachment alone could be of benefit in the treatment of branched retinal vein occlusions. A prospective randomised trial is needed to assess the effectiveness and the safety of this procedure and to determine the best candidates for surgery.

Late swelling of Miragel buckling elements represents a common indication for buckle removal, significantly different from silicone indentations.

Abstract. A step-by-step description of a surgical technique for episcleral Miragel® buckle removal is reported. After dissection of the conjunctiva and the capsule surrounding the Miragel® element, the extremity of the buckle is pulled out with a cryoprobe. The removal of Miragel® episcleral buckle with the cryoprobe is a safe and effective technique with a low fragmentation rate and a reduction of the surgical risk related to the use of sharp forceps near a possibly weakened sclera. Procedure time seems also to be reduced. [Ophthalmol Surg Lasers 2002;33:237-239]