NOVEL PATIENT POSITIONING APPARATUS FOR RETINAL SURGERY IN A CASE OF SEVERE KYPHOSIS.
作者信息
Iaboni Douglas S M, Seamone Mark E, Stairs Mary S, OʼBrien Daniel M, Bisson M Sheldon, Gupta R Rishi
机构信息
Dalhousie Medical School, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Department of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, Nova Scotia, Canada.
出版信息
Retin Cases Brief Rep. 2019 Fall;13(4):385-387. doi: 10.1097/ICB.0000000000000609.
PURPOSE
To describe a novel patient positioning apparatus for intraocular surgery capable of accommodating patients with thoracic kyphosis.
METHODS
Case report.
RESULTS
A 60-year-old man presented with a macula-off retinal detachment and severe ankylosing spondylitis. The patient was scheduled for combined pars plana vitrectomy and scleral buckle. Because of the patient's severe kyphosis, a custom-designed positioning apparatus was built. The setup involved a canvas with 10 sewn-on straps and a Skytron operating table with strap inserts. Padding and blankets were also used to secure the patient comfortably in the Trendelenburg position. Surgery was uncomplicated and retinal detachment repair was successfully performed.
CONCLUSION
To the authors' knowledge, this is the first report detailing a vest-like support apparatus for patients with thoracic kyphosis used in vitreoretinal surgery. This apparatus can be prepared using any conventional operating table, and it offers an effective approach to intraocular surgery for patients who cannot lie flat.
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