Watanabe Akira, Tsuzuki Akane, Arai Kota, Gekka Tamaki, Tsuneoka Hiroshi
Department of Ophthalmology, The Jikei University School of Medicine, Tokyo, Japan.
Case Rep Ophthalmol. 2016 Jan 14;7(1):44-8. doi: 10.1159/000443721. eCollection 2016 Jan-Apr.
We report herein a method for the treatment of dropped nucleus during cataract surgery with a 27-gauge twin duty cycle (TDC) vitreous cutter. When a TDC vitreous cutter is used, suction flow volume is maintained even when the cutter is driven at a high speed. This enables an Emery-Little grade 3 nucleus that had been difficult to treat with a conventional 27-gauge cutter to be successfully excised using only a vitreous cutter, with no intra- or postoperative complications. A dropped lens during cataract surgery of up to moderate hardness can be removed using a TDC cutter alone with a 27-gauge cutter system.
我们在此报告一种使用27号双工作周期(TDC)玻璃体切割器治疗白内障手术中晶状体核掉落的方法。当使用TDC玻璃体切割器时,即使切割器高速驱动,抽吸流量也能保持稳定。这使得以往难以用传统27号切割器处理的埃默里-利特尔3级核,仅使用玻璃体切割器就能成功切除,且术中及术后均无并发症。对于白内障手术中掉落的硬度适中的晶状体,仅使用27号切割器系统的TDC切割器即可将其取出。