Heads-Up Macular Surgery with a 27-Gauge Microincision Vitrectomy System and Minimal Illumination

被引:32
作者
Kunikata, Hiroshi [1 ,2 ]
Abe, Toshiaki [3 ]
Nakazawa, Toru [1 ,2 ,4 ,5 ]
机构
[1] Tohoku Univ, Grad Sch Med, Dept Ophthalmol, 1-1 Seiryo Machi, Sendai, Miyagi 9808574, Japan
[2] Tohoku Univ, Grad Sch Med, Dept Retinal Dis Control, Sendai, Miyagi, Japan
[3] Tohoku Univ, Grad Sch Med, Ctr Adv Med Res & Dev ART, Div Clin Cell Therapy, Sendai, Miyagi, Japan
[4] Tohoku Univ, Grad Sch Med, Dept Adv Ophthalm Med, Sendai, Miyagi, Japan
[5] Tohoku Univ, Grad Sch Med, Dept Ophthalm Imaging & Informat Analyt, Sendai, Miyagi, Japan
来源
CASE REPORTS IN OPHTHALMOLOGY | 2016年 / 7卷 / 03期
关键词
Heads-up surgery; 27-Gauge vitrectomy; Macular hole; Epiretinal membrane; Phototoxicity;
D O I
10.1159/000452993
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Objective: We combined heads-up 3-dimensional (3D) 27-gauge microincision vitrectomy surgery (27GMIVS) with a very low-intensity illumination system. Methods: This study was based on a retrospective, interventional case series of 6 eyes of 6 patients with macular disease. All patients underwent heads-up 3D 27GMIVS and the power of the intraocular illuminator was set to its minimum level, 1% (approximately 0.1 lm), throughout the surgery. Results: We found that the procedure was easy when the heads- up 3D system was used, but not through the eyepiece of a microscope. All surgeries were successfully finished without any complications. Postoperative visual acuity was restored or maintained in all eyes during the follow-up period. Conclusion: Heads-up, 3D system-assisted 27GMIVS with minimal illumination enabled excellent intraoperative visualization of retinal tissues, caused minimal phototoxicity to the macular retinal cells, and might therefore represent the next step in the development of an ideal, minimally invasive method of treating macular disease. (C) 2016 The Author(s) Published by S. Karger AG, Basel
引用
收藏
页码:265 / 269
页数:5
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共 5 条
  • [1] HEADS-UP SURGERY FOR VITREORETINAL PROCEDURES An Experimental and Clinical Study
    Eckardt, Claus
    Paulo, Erica B.
    [J]. RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2016, 36 (01): : 137 - 147
  • [2] VITREOUS SURGERY FOR MACULAR PUCKER
    MICHELS, RG
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 1981, 92 (05) : 628 - 639
  • [3] Comparative study of 27-gauge vs 25-gauge vitrectomy for epiretinal membrane
    Mitsui, K.
    Kogo, J.
    Takeda, H.
    Shiono, A.
    Sasaki, H.
    Munemasa, Y.
    Kitaoka, Y.
    Takagi, H.
    [J]. EYE, 2016, 30 (04) : 538 - 544
  • [4] Self-retaining 27-gauge transconjunctival chandelier endoillumination for panoramic viewing during vitreous surgery
    Oshima, Yusuke
    Awh, Carl C.
    Tano, Yasuo
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 2007, 143 (01) : 166 - 167
  • [5] Evaluation of the safety of xenon/bandpass light in vitrectomy using the A2E-laden RPE model
    Yanagi, Yasuo
    Iriyama, Aya
    Jang, Woo-Dong
    Kadonosono, Kazuaki
    [J]. GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 2007, 245 (05) : 677 - 681