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Ultrasonic fragmentation for removing thick organized clots during diabetic vitrectomy - A novel technique
Deependra V Singh1, Raja R Reddy2, Awaneesh Upadhyay1
1Retina Services, Eye-Q Superspecialty Eye Hospitals, Gurugram, Haryana, India.
Abstract:
A 65-year-old male with proliferative diabetic retinopathy (PDR) and non-clearing vitreous hemorrhage underwent 25G pars plana vitrectomy (PPV). A large disk of thick organized blood of 5 disk diameter (DD) size was encountered in subhyaloid space. All attempts including lower cut rates to remove this disk using a 25G cutter turned futile. We used a 20G fragmatome to safely remove this hard clot from vitreous cavity in 50 s. Surgical time for removal of similar clot of 3 DD by 25G cutter in another eye was 5 min. Removal of thick clotted subhyaloid blood by ultrasonic fragmentation during diabetic vitrectomy is a safe, faster, and useful maneuver.
Insights
Ultrasonic fragmentation with a fragmatome safely and rapidly removed a large, organized blood clot during diabetic vitrectomy. This technique proved significantly faster than traditional cutters for subhyaloid hemorrhage removal.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Diabetic Retinopathy Management
Background:
- Proliferative diabetic retinopathy (PDR) can cause non-clearing vitreous hemorrhage.
- Large, organized subhyaloid blood clots pose significant surgical challenges during vitrectomy.
