Department of Ophthalmology, Reference Center of the Ministry of Health of the Republic of Croatia for Inherited Retinal Dystrophies, Reference Center of the Ministry of Health of the Republic of Croatia for Pediatric Ophthalmology and Strabismus, University Hospital "Sveti Duh", Zagreb, Croatia.
Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; and.
Retina. 2024 Jan 1;44(1):175-178. doi: 10.1097/IAE.0000000000003985.
To describe modification of the suprachoroidal buckling technique for the treatment of rhegmatogenous retinal detachment (RRD), which may improve the safety profile.
A single-surgeon foot-pedal-controlled automated suprachoroidal injection (SCI) of sodium hyaluronate 1%, namely ProVisc (Alcon Laboratories, Fort Worth, TX) was used for the treatment of RRD. MicroDose Injection Kit (MedOne Surgical, Sarasota, FL) including a connector and a 1-mL syringe, designed for subretinal injection, was used to adapt Constellation Vision System (Alcon Laboratories) console for SCI of ProVisc from the 1-mL syringe.
This approach enables better surgeon control during SCI. Three highly myopic eyes of three patients with primary macula-on RRD and single superior peripheral retinal break were treated. Complete retinal reattachment was achieved in all eyes without complications.
Injecting ProVisc under foot-pedal control provides a more precise and potentially safer suprachoroidal buckling technique compared with the manual technique with more variable injection speed and pressure.
描述用于治疗孔源性视网膜脱离（RRD）的改良经脉络膜上腔扣带术，以提高安全性。
单名外科医生使用脚踏控制的自动化透明质酸钠 1%（即 ProVisc，爱尔康实验室，沃思堡，TX）经脉络膜上腔注射（SCI）治疗 RRD。MicroDose Injection Kit（MedOne Surgical，萨拉索塔，FL）包括一个连接器和一个 1 毫升的注射器，设计用于视网膜下注射，用于将 Constellation Vision System（爱尔康实验室）控制台改装为 ProVisc 的 SCI，从 1 毫升注射器进行。
这种方法使 SCI 期间更好地控制外科医生。三名高度近视患者的三只眼有原发性黄斑上 RRD 和单一上方周边视网膜裂孔，接受了治疗。所有眼均实现完全视网膜复位，无并发症。
与手动技术相比，脚踏控制注射 ProVisc 提供了更精确且潜在更安全的经脉络膜上腔扣带技术，手动技术的注射速度和压力变化更大。
