Agranat Joshua S, Douglas Vivian P, Douglas Konstantinos A A, Miller John B
Retina Service, Massachusetts Eye and Ear, Department of Ophthalmology, Harvard Medical School, Boston, MA USA.
Int J Retina Vitreous. 2020 Sep 18;6:42. doi: 10.1186/s40942-020-00246-9. eCollection 2020.
Visualization during scleral buckling is traditionally achieved via indirect ophthalmoscopy. Recent advances have utilized the surgical microscope and a 25 gauge cannula-based endoillumination system, also known as a Chandelier lighting system. This report details an improved approach using a guarded 25 or 27 gauge light pipe and the Ngenuity digital three dimensional platform.
A standard Alcon light pipe is modified with a silicone guard to expose only 5 mm of the tip of the light pipe. The guard is created from the silicone that is already opened to secure the ends of the encircling band most often employed sleeve (e.g. 70, 270). This guarded light pipe is then inserted into the cannula as an alternative to a Chandelier lighting system.
This is a technical report of a surgical visualization technique using a three dimensional digital visualization platform with a modified handheld vitrectomy light pipe.
The utilization of a guarded light pipe for visualization during primary scleral buckling is a promising, effective, and efficient technique. The three dimensional digital display allows for better educational impact and surgical communication with trainees and ancillary members of the surgical team.
巩膜扣带术中的可视化传统上是通过间接检眼镜实现的。最近的进展采用了手术显微镜和基于25号套管的眼内照明系统，也称为吊灯照明系统。本报告详细介绍了一种使用带防护装置的25号或27号光导纤维管和Ngenuity数字三维平台的改进方法。
对标准的爱尔康光导纤维管进行改良，加装硅胶防护装置，使光导纤维管尖端仅露出5毫米。该防护装置由已开封的硅胶制成，用于固定最常使用的套环带（如70、270）的两端。然后将这种带防护装置的光导纤维管插入套管，作为吊灯照明系统的替代方案。
这是一份关于使用三维数字可视化平台和改良手持式玻璃体切除光导纤维管的手术可视化技术的技术报告。
在原发性巩膜扣带术中使用带防护装置的光导纤维管进行可视化是一种有前景、有效且高效的技术。三维数字显示能更好地对实习医生和手术团队的辅助成员进行教学，并促进手术交流。
