Hamed Abdelmonem, Fekry Ahmed
From the Ebsar Eye Center, Benha University, Qalopia, Egypt.
From the Ebsar Eye Center, Benha University, Qalopia, Egypt.
J Cataract Refract Surg. 2016 Dec;42(12):1713-1715. doi: 10.1016/j.jcrs.2016.11.003.
We describe 2 techniques for manipulating the edge of the lenticule in refractive small-incision lenticule extraction. In the push-up technique, an instrument with a Y-shaped tip is inserted through the incision and used to push the edge of the lenticule up, facilitating visualization of the edge of the lenticule, which might accelerate the learning curve of the beginning surgeon. The push-down technique is used if the surgeon notices that the lenticule is adherent to the cap after 1 surface has been dissected, making dissection of the superficial surface difficult. The same Y-shaped instrument can be used to engage the edge of the lenticule and push it down to make room to introduce the dissector; this is followed by dissection of the lenticule from the cap using the dissector.
Neither author has a financial or proprietary interest in any material or method mentioned.
我们描述了两种在屈光性小切口透镜切除术（SMILE）中处理透镜边缘的技术。在推起技术中，将带有Y形尖端的器械通过切口插入，用于将透镜边缘向上推，便于观察透镜边缘，这可能会加快初入行外科医生的学习曲线。如果外科医生在切开一个面后发现透镜与帽状物粘连，使得切开表面困难，则使用下压技术。同样的Y形器械可用于接触透镜边缘并将其向下推，以便为引入分离器腾出空间；随后使用分离器从帽状物上分离透镜。
两位作者均对文中提及的任何材料或方法没有财务或所有权权益。
