In:
Ophthalmic Surgery, Lasers and Imaging Retina, SLACK, Inc., Vol. 46, No. 1 ( 2015-01), p. 73-76
Kurzfassung:
The authors propose a novel trimanual vitreous surgery using assistant-adjusted endoillumination during 23-gauge sutureless vitrectomy for severe diabetic tractional retinal detachment (TRD) under noncontact wide-angle viewing system. MATERIALS AND METHODS: The trimanual sutureless vitrectomy under a wide-angle viewing system consisted of (1) a fourth-port microcannula in the inferior 6-o’clock position; (2) dynamic and specular illumination by an assistant-controlled light probe inserted through the fourth port; and (3) membrane dissection and bleeding control using two intraocular instruments. RESULTS: Six eyes of four patients who underwent trimanual diabetic vitrectomy were evaluated. Recurrent TRD was detected in one eye, and a second operation was performed. There were no intraoperative sclerotomy-related complications or postoperative hypotony, increased IOP, or endophthalmitis. Final anatomic and functional success was achieved in all six eyes. CONCLUSION: The trimanual technique is valuable for membrane dissection in severe diabetic TRD. The optimal and dynamic illumination provided a high-quality stereoscopic view under a wide-angle viewing system. Careful coordination between a surgeon and an assistant facilitates this technique. [ Ophthalmic Surg Lasers Imaging Retina. 2015;46:73–76.]
Materialart:
Online-Ressource
ISSN:
2325-8160
,
2325-8179
DOI:
10.3928/23258160-20150101-12
Sprache:
Englisch
Verlag:
SLACK, Inc.
Publikationsdatum:
2015
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