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高屈光指数玻璃体切割术弯月形接触镜与非接触式广角观察系统在玻璃体手术中的联合应用

Combined use of high-reflective index vitrectomy meniscus contact lens and a noncontact wide-angle viewing system in vitreous surgery.

作者信息

Ohno Hisato

机构信息

Inouye Eye Hospital, Chiyoda-ku, Tokyo, Japan.

出版信息

Clin Ophthalmol. 2011;5:1109-11. doi: 10.2147/OPTH.S23621. Epub 2011 Aug 10.

DOI:10.2147/OPTH.S23621
PMID:21887090
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3162288/
Abstract

BACKGROUND

The aim of this study was to assess the combined use of a high-reflective index vitrectomy (HHV) meniscus contact lens and a noncontact wide-angle viewing system in vitreous surgery.

METHODS

Twenty-three gauge vitrectomy was performed with combined use of a HHV meniscus contact lens and a noncontact wide-angle viewing system. When delicate manipulation of the retina such as internal limiting membrane peeling was performed, only the HHV meniscus lens was used.

RESULTS

Advantages of this combination procedure include the ability to observe the peripheral fundus image, easy access to the posterior pole without exchange of the contact lens when needed, keeping the corneal surface wet covered by a contact lens, and the good view afforded during fluid-air exchange.

CONCLUSION

Combined use of a HHV meniscus contact lens and a noncontact wide-angle viewing system is useful for vitreous surgery. It has the advantages of both contact and noncontact wide-angle viewing systems.

摘要

背景

本研究的目的是评估高反射指数玻璃体切除术(HHV)弯月形接触镜和非接触式广角观察系统在玻璃体手术中的联合应用。

方法

采用HHV弯月形接触镜和非接触式广角观察系统联合进行23G玻璃体切除术。当进行视网膜精细操作如内界膜剥除时,仅使用HHV弯月形透镜。

结果

这种联合手术的优点包括能够观察周边眼底图像,在需要时无需更换接触镜即可轻松进入后极部,保持角膜表面被接触镜湿润覆盖,以及在液气交换期间提供良好的视野。

结论

HHV弯月形接触镜和非接触式广角观察系统的联合应用对玻璃体手术有用。它具有接触式和非接触式广角观察系统的优点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd6/3162288/1f3f145fc856/opth-5-1109f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd6/3162288/121d664b79eb/opth-5-1109f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd6/3162288/72fd32b578c1/opth-5-1109f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd6/3162288/1f3f145fc856/opth-5-1109f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd6/3162288/121d664b79eb/opth-5-1109f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd6/3162288/72fd32b578c1/opth-5-1109f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd6/3162288/1f3f145fc856/opth-5-1109f3.jpg

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本文引用的文献

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Am J Ophthalmol. 2004 Apr;137(4):760-2. doi: 10.1016/j.ajo.2003.09.035.
3
A new device for noncontact wide-angle viewing of the fundus during vitrectomy.一种用于玻璃体切除术中眼底非接触式广角观察的新设备。
一种用于通过非接触式广角观察系统观察眼底的新型透镜。
Clin Ophthalmol. 2017 Jul 3;11:1239-1244. doi: 10.2147/OPTH.S137346. eCollection 2017.
4
Vitreoretinal instruments: vitrectomy cutters, endoillumination and wide-angle viewing systems.玻璃体视网膜器械:玻璃体切割器、眼内照明及广角观察系统。
Int J Retina Vitreous. 2016 Dec 5;2:28. doi: 10.1186/s40942-016-0052-9. eCollection 2016.
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Comparison of scleral buckling using wide-angle viewing systems and indirect ophthalmoscope for rhegmatogenous retinal detachment.广角观察系统与间接检眼镜用于孔源性视网膜脱离巩膜扣带术的比较
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