Retina (Philadelphia, Pa.) · 2025
A Novel Surgical Technique for Silicone Oil Removal Using a Corneal Transplant Trephine and a 25-Gauge Viscous Fluid Cannula.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ramirez Wiesner Pedro Jose, Turizo Mejia Sara, Quintero Lizcano Karol, Arango Hurtado Mauricio
Аннотация
PURPOSE: The authors describe a novel technique using a corneal transplant trephine and a 25-gauge viscous fluid cannula to simplify and standardize silicone oil extraction.
METHODS: Under local/general anesthesia, a standard, 3-port, 25-gauge pars plana vitrectomy system is established. The corneal trephine's blade mechanism is replaced by a 25-gauge viscous fluid cannula cannula (Alcon Laboratories), enabling dual-syringe active silicone oil extraction. Two syringes are connected to the trocars, allowing simultaneous oil aspiration under controlled fluid dynamics through the constellation system.
RESULTS: Complete silicone oil removal was achieved in all cases, with an average procedural time of 15 minutes. The dual-syringe system provided precise control, minimizing retinal traction. No intraoperative complications (e.g., hypotony, retinal damage) were observed.
CONCLUSION: Silicone oil removal with the corneal transplant trephine and a 25-gauge viscous fluid cannula offers significant advantages in terms of safety, efficiency, and cost-effectiveness, making it an ideal solution for retinal surgeons worldwide.
METHODS: Under local/general anesthesia, a standard, 3-port, 25-gauge pars plana vitrectomy system is established. The corneal trephine's blade mechanism is replaced by a 25-gauge viscous fluid cannula cannula (Alcon Laboratories), enabling dual-syringe active silicone oil extraction. Two syringes are connected to the trocars, allowing simultaneous oil aspiration under controlled fluid dynamics through the constellation system.
RESULTS: Complete silicone oil removal was achieved in all cases, with an average procedural time of 15 minutes. The dual-syringe system provided precise control, minimizing retinal traction. No intraoperative complications (e.g., hypotony, retinal damage) were observed.
CONCLUSION: Silicone oil removal with the corneal transplant trephine and a 25-gauge viscous fluid cannula offers significant advantages in terms of safety, efficiency, and cost-effectiveness, making it an ideal solution for retinal surgeons worldwide.