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Modified vitreoretinal instruments for eyes with long axial length

Session Details

Session Title: Quick Fire Free Paper Session 01

Session Date/Time: Thursday 26/09/2013 | 08:30-10:30

Paper Time: 09:35

Venue: Hall G1 (Level 2)

First Author: L.Lytvynchuk UKRAINE

Co Author(s):    G. Richard   A. Sergiienko           

Abstract Details

Purpose:

To modify vitreoretinal cannula and forceps for ILM peeling for vitrectomy on eyes with long axial length

Setting:

Minimization of disadvantages of the instruments for eyes with long axial length that are available on the market can improve comfort and efficacy of vitrectomy.

Methods:

After complete pars plana vitrectomy on 15 eyes with long axial length (27-33 mm) modified 23-gauge cannulas “Bayonette” and “Myopic” was used for PFCL-silicon oil or fluid-air exchange. The aspiration of residual PFCL or BSS with modified cannulas was done under visual control using different viewing systems (EIBOS, OFFISS, BIOM). Removal of ILM with the use of modified “Myopic” forceps was performed on 20 eyes with axial length 29-34mm.

Results:

The angled banding and prolonged working part of the modified vetreoretinal instruments allowed surgeon to reach the posterior pole of the retina without any difficulties avoiding the contact with peripheral lenses of viewing systems and displacing of the image. The vitreoretinal procedures were easier to perform.

Conclusions:

A modified double bend 23-gauge cannula seems to prevail over use of straight cannulas making the maneuvering on the posterior pole site on the eyes with long axial length easier and avoiding contact with viewing system lens.

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