Kirk H. Packo, MD, Director, Department of Ophthalmology Rush University Medical Center Chicago, Illinois
Kourous A. Rezaei, MD, is an Associate Professor in the Department of Ophthalmology at Rush University Medical Center .
In this issue of Retina Today, Elliott Sohn, MD, provides surgical pearls for performing bimanual vitreoretinal surgery for tractional retinal detachment due to proliferative diabetic retinopathy using 20- or 23-gauge instrumentation.
We extend an invitation to readers to submit pearls for publication in Retina Today. Please send submissions for consideration to Ingrid U. Scott, MD, MPH (firstname.lastname@example.org); or Dean Eliott, MD (email@example.com). We look forward to hearing from you.
—Ingrid U. Scott, MD, MPH; and Dean Eliott, MD
Managing eyes with tractional retinal detachment (TRD) due to severe proliferative diabetic retinopathy (PDR) can be challenging for vitreoretinal surgeons (Figure 1). TRD from PDR, resulting from contraction of epiretinal fibrovascular proliferative membranes, requires surgery when it involves or threatens the macula or has a combined rhegmatogenous retinal detachment (RRD) component.
In bimanual vitreoretinal surgery, two instruments are used simultaneously to manipulate the same tissue inside the eye. This concept typically excludes the use of a single- function light pipe as one of the instruments, althou… [read more...]
At the 2011 Association for Research and Vision in Ophthalmology (ARVO) meeting, the Vit-Buckle Society met to discuss three current-generation vitrectomy machines. 2010 was a banner year for vitreoretinal surgical equipment. To help start a discussion about the surgical platforms, Christopher Riemann, MD; Derek Kunimoto, MD; and Jorge Fortun, MD, presented a quick summary of the Dutch Ophthalmic USA (Exeter, NH), Bausch + Lomb (Aliso Viejo, CA), and Alcon Laboratories, Inc. (Fort Worth, TX), systems, respectively (three lectures linked to EYETUBE.NET).
In the first half of the year, the Constellation Vision System (Alcon Laboratories, Inc.) gained significant traction in hospitals, universities, and some ambulatory surgical centers (ASCs). In the second half of the year, all kinds of excitement broke loose with two new machines introduced (the Associate [Dutch Ophthalmic USA]; and the Stellaris PC [Bausch + Lomb]) and the voluntary recall of the Constellation by Alcon. Indeed, the second half of 2010 was the equivalent of a soap opera. Our hospital had purchased two Constellations in the last weeks of June, just prior to the recall. In fact, our in-service training was scheduled to take place on… [read more...]
SURGICAL UPDATES: Transscleral Surgery | January 2011
Improving the Safety of Small-gauge Vitrectomy | January 2011
Tips and Tricks for Small-gauge Vitreous Surgery | December 2010
SURGICAL UPDATES: IOL Fixation Techniques | December 2010
Fluidics Behavior During Vitrectomy | December 2010
Introduction | September 2009
The CONSTELLATION Vision System (Alcon Laboratories, Inc., Fort Worth, TX) is an integrated vitreoretinal system that not only has advanced cutting capabilities, but also highly efficient flow and i [read more...]
-Allen C. Ho, MD Chief Medical Editor, Retina Today | September 2009
Flow Control with the Constellation | September 2009