Bapaye Hospital, Nashik, Maharashtra, India.
Ophthalmic Plastic and Ocular Oncology Services, Advanced Eye Hospital and Institute, A Unit of Dr. Agarwal's Eye Hospitals, Navi Mumbai; Aditya Jyot Eye Hospital, Mumbai, Maharashtra, India.
Indian J Ophthalmol. 2022 Aug;70(8):3123-3127. doi: 10.4103/ijo.IJO_419_22.
The induction of posterior vitreous detachment (PVD) is an important step in the successful outcome of vitreoretinal surgery for various indications. This may pose a significant challenge intraoperatively in cases of strong adhesion between the posterior hyaloid and retina. Various techniques to achieve intraoperative PVD have been described which involve active aspiration as well as non-aspiration techniques to achieve a plane of separation between the posterior hyaloid and retina. Very frequently, combinations of these techniques might be necessary to achieve successful PVD induction. We describe a novel instrument that combines aspiration as well as non-aspiration techniques for PVD induction, Bapaye aspiration scraper. It is also useful in various vitreoretinal interface procedures due to its design and is compatible with small-gauge vitrectomy systems which are commonly used in modern vitreoretinal surgery.
后玻璃体脱离(PVD)的诱导是各种适应证玻璃体视网膜手术成功的重要步骤。在后玻璃体与视网膜之间存在强烈粘连的情况下,这可能会在手术中带来重大挑战。为了在术中实现 PVD,已经描述了各种技术,这些技术涉及主动抽吸以及非抽吸技术,以在后玻璃体和视网膜之间实现分离平面。通常,可能需要这些技术的组合才能成功地诱导 PVD。我们描述了一种新颖的仪器,该仪器将抽吸和非抽吸技术结合用于 PVD 诱导,即 Bapaye 抽吸刮刀。由于其设计,它在各种玻璃体视网膜界面手术中也很有用,并且与现代玻璃体视网膜手术中常用的小口径玻璃体切割系统兼容。