de Juan E, Hickingbotham D
Duke University Eye Center, Durham, North Carolina 27710.
Am J Ophthalmol. 1990 Feb 15;109(2):218-20. doi: 10.1016/s0002-9394(14)75990-2.
We developed a series of 25-gauge (0.5 mm) microinstruments for vitreous surgery, including a 25-gauge vitreous cutter, 25-gauge microscissors for limited reuse, and a vitreous membrane dissector. Clinical experience with these instruments in more than 20 cases of advanced proliferative vitreoretinopathy, retinopathy of prematurity, and diabetic retinopathy indicates that these instruments facilitate delicate vitreoretinal dissections, particularly in the vitreous base and when fibrovascular tissues are closely adherent to the retina. Because of their smaller size, the microinstruments are more precise in their cutting capabilities than other instruments.
我们开发了一系列用于玻璃体手术的25号（0.5毫米）微型器械，包括25号玻璃体切割器、可有限次重复使用的25号微型剪刀以及玻璃体膜剥离器。在20多例晚期增生性玻璃体视网膜病变、早产儿视网膜病变和糖尿病性视网膜病变中使用这些器械的临床经验表明，这些器械有助于进行精细的玻璃体视网膜剥离，尤其是在玻璃体基底部以及纤维血管组织紧密附着于视网膜时。由于尺寸较小，这些微型器械在切割能力上比其他器械更精确。
