Bimanual anterior vitrectomy using a 25-gauge high-speed cutter to manage vitreous loss during phacoemulsification

被引：3

作者：

Shimada H. ^{[1
]}

Nakashizuka H. ^{[1
]}

Hattori T. ^{[1
]}

Mori R. ^{[1
]}

Mizutani Y. ^{[1
]}

Yuzawa M. ^{[1
]}

机构：

[1] Department of Ophthalmology, School of Medicine, Surugadai Hospital of Nihon University, Chiyodaku, Tokyo 101-8309, 1-8-13 Surugadai, Kanda

来源：

International Ophthalmology | 2009年 / 29卷 / 4期

关键词：

2,500 cuts/min cutter; 25-gauge vitreous cutter; Bimanual anterior vitrectomy; Phacoemulsification; Topical anesthesia; Vitreous prolapse;

D O I：

10.1007/s10792-008-9210-x

中图分类号：

学科分类号：

摘要：

We examined the usefulness of bimanual anterior vitrectomy with a 25-gauge high-speed cutter and infusion cannula for managing vitreous loss during phacoemulsification. Three eyes underwent phacoemulsification under topical anesthesia, during which, posterior capsule rupture occurred, resulting in vitreous loss and residual nuclear fragments. A 25-gauge high-speed cutter (2,500 cuts/min) and a 25-gauge infusion cannula were inserted into the 3 and 9 o'clock ports. Anterior vitrectomy was performed by employing a bimanual technique. A viscoelastic substance and infusion cannula prevented nuclear fragments from falling into the vitreous. The cutter allowed the easy excision of nuclear fragments and sharp excision of the vitreous. The vitreous incarcerated in the iris at 12 o'clock was removed by manipulating the cutter like a spatula. Bimanual anterior vitrectomy, using a 25-gauge high-speed cutter and infusion cannula, allows effective excision of the lost vitreous, while preserving a closed anterior chamber under topical anesthesia. © Springer Science+Business Media B.V. 2008.

引用

页码：253 / 255

页数：2

共 5 条

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[3] Chalam K.V., Gupta S.K., Vinjamaram S., Et al., Small-gauge, sutureless pars plana vitrectomy to manage vitreous loss during phacoemulsification, J Cataract Refract Surg, 29, pp. 1482-1486, (2003)
[4] Er H., Small-gauge, sutureless pars plana vitrectomy to manage vitreous loss during phacoemulsification, J Cataract Refract Surg, 30, pp. 2252-2253, (2004)
[5] Chang C.J., Chiang S.Y., Chen C.L., Et al., Clinical outcomes of combined sutureless vitrectomy with triamcinolone stain to manage vitreous loss resulting from posterior capsule rupture during phacoemulsification, J Cataract Refract Surg, 32, pp. 2054-2059, (2006)

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