Vitreous Hydro-dissection with a Flute Needle for Inducing Posterior Vitreous Detachment in Pediatric Retinopathies.

IF 2.3 2区医学 Q2 OPHTHALMOLOGY Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2024-10-29 DOI:10.1097/IAE.0000000000004325

Jingli Guo, Yuhan Zhou, Chun Zhao, Victoria Y Gu, Dian Jiao, Peiquan Zhao, Dongsheng Zhao

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Abstract

Purpose: To present a novel intraoperative technique using a flute needle to induce posterior vitreous detachment (PVD) in pediatric retinal cases.

Methods: Following 23-gauge pars plana vitrectomy in pediatric eyes with complex vitreoretinal disease, triamcinolone is applied for staining, and vitreous hydro-dissection is performed. A flute needle containing basic salt solution (BSS) is introduced to separate the thin residual posterior vitreous cortex from the retina near the vascular arcades. Gentle taps allow balanced salt solution (BSS) to enter the vitreous crevice, with controlled oscillation facilitating separation. PVD is then induced, and the vitrector is used to lift and complete the detachment.

Results: Vitreous hydro-dissection with a flute needle was effective in inducing PVD in pediatric eyes with complex vitreoretinal disease. We report no intraoperative or postoperative complications.

Conclusion: This adjuvant vitreous hydro-dissection technique facilitates PVD induction and may reduce the associated risk of iatrogenic retinal damage.

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用笛形针进行玻璃体水切割，诱导小儿视网膜病变的后部玻璃体脱离

目的：介绍一种在小儿视网膜病例中使用笛形针诱导玻璃体后脱离（PVD）的新型术中技术：方法：在对患有复杂玻璃体视网膜疾病的小儿眼球进行23号玻璃体旁切除术后，应用三苯氧胺进行染色，并进行玻璃体水切割。导入装有碱性盐溶液（BSS）的笛形针，将薄薄的玻璃体后部残留皮质与血管弧附近的视网膜分离。轻轻敲击使平衡盐溶液（BSS）进入玻璃体裂隙，控制振荡以促进分离。然后诱导 PVD，使用玻璃体切割器抬起并完成剥离：结果：在患有复杂玻璃体视网膜疾病的小儿眼中，使用笛形针进行玻璃体水切割能有效诱导PVD。我们的报告显示，术中和术后均未出现并发症：结论：这种辅助玻璃体积水切割技术有助于诱导PVD，并可降低视网膜先天性损伤的相关风险。

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来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.