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A new instrument to simplify encircling buckle placement
Hernán E Gras1,2, María Gómez-Resa3, Fernando Aguirre4
11 Centrovision Mendoza, Mendoza, Argentina.
European Journal of Ophthalmology
|May 29, 2018
Summary
A novel surgical instrument simplifies 360° silicone band placement for retinal detachment, reducing surgical trauma and operating time. This technique offers a safer, more efficient treatment for rhegmatogenous retinal detachment.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Retinal Surgery
Background:
- Rhegmatogenous retinal detachment requires surgical intervention, often involving silicone bands.
- Traditional silicone band placement can be complex and lead to significant surgical trauma.
Purpose of the Study:
- To introduce a new surgical instrument designed to simplify 360° silicone band placement.
- To facilitate the treatment of rhegmatogenous retinal detachment, with or without pars plana vitrectomy.
Main Methods:
- The instrument features a helical component for encircling the globe and a straight shank for manipulation.
- A conjunctival incision allows insertion, with the instrument rotated 360° to position the silicone band.
- The technique allows for subsequent pars plana vitrectomy using microincision approaches.
Main Results:
- Over 100 procedures demonstrated reduced surgical trauma, including minimal conjunctival opening and extraocular muscle manipulation.
- The number of sutures required is significantly decreased.
- Surgical duration is considerably shortened due to fewer maneuvers.
Conclusions:
- A novel scleral technique using a specialized instrument enables safe and effective encircling silicone band placement.
- The method minimizes patient trauma and reduces operative time for retinal detachment repair.
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