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Vitrectomy
1. VITRECTOMY Dr. Ankit Punjabi P.G. Ophth, Dept Of Ophthalmology K.I.M.S., Hospital, Bangalore Email: drankitalways@gmail.com
2. INTRODUCTION 2ND most common intraocular surgery Until 1960’s : Don’t Violate Vitreous 1971: Machemer – 1st planned vitrectomy 1972: O’Malley & Heinz – 3-port vitrectomy Recently : 23 and 25-gauge vitrectomy
3. APPLICATIONS Removal of vitreous opacity Removal of IOFB / dislocated lens / IOL Repair of RD or retinal Distortion Control of NV of iris and retina
4. INDICATIONS RETINAL DETACHMENT DIABETIC RETINOPATHY TRAUMA MACULAR SURGERY PEDIATRIC RETINAL DISORDERS TUMORS COMPLICATED ANT SEGMENT SURGERY UVEITIS
5. Retinal Detachment RD with Proliferative Vitreoretinopathy Giant retinal tears RD with posterior retinal breaks Selected primary RD
23. SCLERAL BUCKLING ELEMENTS Silicone sponges Solid silicone plates Silicone bands TAMPONADES Air Long-acting gases Silicone oil Liquid perflourochemicals
24. CYANOACRYLATE GLUE TACKS ( retina and iris) SUTURES (retina and iris) GIANT TEAR TABLE (used in historical era)
25. DORC Harmony TTC Dual Fiber Optic Illumination High Frequency Diathermy Air-Fluid Exchange Viscous Fluid Injection Vitrectomy, high speed, dual linear control PhacoEmulsificalion & Fragmentation, dual linear control Irrigation / Aspiration & Viscous Fluid Extraction DORC Dual Linear Venturi