Mandelcorn Efrem D, Manusow Joshua S, Parke D Wilkin, Albini Thomas A
Ophthalmic Surg Lasers Imaging Retina. 2015 May;46(5):577-8. doi: 10.3928/23258160-20150521-10.
The ability to visualize and work in the region of the vitreous base during vitrectomy surgery is important. However, this usually requires the use of a surgical assistant for scleral depression or expensive chandelier systems requiring extra incisions. The authors describe two alternative simple, cost-effective techniques to independently and simultaneously view and cut (or apply laser) in this difficult anatomical region.
Light-pipe assisted scleral depression using a standard light pipe and ring depressor indentation while maintaining two intraocular instruments are described.
The described techniques are simple, cost-effective, safe, suitable for phakic and pseudo-phakic patients, and allow the surgeon to operate independently with maximum control.
在玻璃体切割手术中，能够观察并操作玻璃体基底部区域非常重要。然而，这通常需要手术助手进行巩膜压迫，或者使用需要额外切口的昂贵吊灯系统。作者描述了两种替代的简单且经济有效的技术，用于在这个解剖结构复杂的区域独立且同时进行观察和切割（或应用激光）。
描述了使用标准光导纤维和环形压器压陷进行光导纤维辅助巩膜压迫，同时保持两个眼内器械的操作方法。
所描述的技术简单、经济有效、安全，适用于有晶状体眼和人工晶状体眼患者，并且使外科医生能够在最大程度的控制下独立操作。
