• Medientyp: E-Artikel
  • Titel: Vitreous Cortex Remnants Removal With Beveled Vitrectomy Probe During Vitrectomy For Primary Rhegmatogenous Retinal Detachment
  • Beteiligte: Hwang, Sung Ha; Lee, Dae Yeong; Nam, Dong Heun
  • Erschienen: Ovid Technologies (Wolters Kluwer Health), 2023
  • Erschienen in: Retina
  • Sprache: Englisch
  • DOI: 10.1097/iae.0000000000003779
  • ISSN: 0275-004X
  • Schlagwörter: Ophthalmology ; General Medicine
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  • Beschreibung: <jats:sec> <jats:title>Purpose:</jats:title> <jats:p>To introduce a new surgical technique with a beveled vitrectomy probe for the removal of peripheral vitreous cortex remnants (VCR) in primary rhegmatogenous retinal detachment (RRD).</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>This study was a retrospective case series. From September 2019 to June 2022, 54 patients with complete or partial posterior vitreous detachment who underwent vitrectomy for primary RRD by a single surgeon were enrolled.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>After staining the vitreous with triamcinolone acetonide, the presence of VCR was assessed in detail. If VCR were present, the macular VCR were removed using surgical forceps, and then, a free flap of peripheral VCR was used as a handle for removing peripheral VCR using the beveled vitrectomy probe. Of the total patients, the presence of VCR was confirmed in 16 patients (29.6%). There were no intraoperative or postoperative complications, except for retinal redetachment caused by proliferative vitreoretinopathy, that occurred in only one eye (1.9%).</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion:</jats:title> <jats:p>Using a beveled vitrectomy probe was a practical solution for removing VCR during RRD vitrectomy because additional instruments were not needed and risk of iatrogenic retinal damage was low.</jats:p> </jats:sec>