糖尿病玻璃体切除术中超声碎核清除厚的、有组织的血凝块：一种新方法。
Ultrasonic fragmentation for removing thick organized clots during diabetic vitrectomy - A novel technique.
机构信息
Retina Services, Eye-Q Superspecialty Eye Hospitals, Gurugram, Haryana, India.
Retina Services, Neo Retina Eye Care Institute, Hyderabad, Telangana, India.
出版信息
Indian J Ophthalmol. 2022 Jun;70(6):2184-2186. doi: 10.4103/ijo.IJO_3063_21.
A 65-year-old male with proliferative diabetic retinopathy (PDR) and non-clearing vitreous hemorrhage underwent 25G pars plana vitrectomy (PPV). A large disk of thick organized blood of 5 disk diameter (DD) size was encountered in subhyaloid space. All attempts including lower cut rates to remove this disk using a 25G cutter turned futile. We used a 20G fragmatome to safely remove this hard clot from vitreous cavity in 50 s. Surgical time for removal of similar clot of 3 DD by 25G cutter in another eye was 5 min. Removal of thick clotted subhyaloid blood by ultrasonic fragmentation during diabetic vitrectomy is a safe, faster, and useful maneuver.
一位 65 岁男性，患有增殖性糖尿病性视网膜病变（PDR）和未清除的玻璃体积血，接受了 25G 经睫状体平坦部玻璃体切除术（PPV）。在玻璃体内下方空间中遇到了一个 5 个视盘直径（DD）大小的大圆盘状厚组织化血液。所有包括降低切割速度的尝试，使用 25G 切割器都无法将这个圆盘移除。我们使用 20G 的粉碎器在 50 秒内安全地从玻璃体腔中清除了这个硬血块。在另一只眼中，使用 25G 切割器移除类似的 3 个 DD 大小的血块需要 5 分钟。在糖尿病玻璃体切除术中，通过超声粉碎术清除厚的玻璃体积血是一种安全、更快且有用的操作。
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