Tara Suresh, William Raynor, Jordan D Deaner, Lejla Vajzovic, Frank Brodie
{"title":"Vitreous Sensing Vitrectomy.","authors":"Tara Suresh, William Raynor, Jordan D Deaner, Lejla Vajzovic, Frank Brodie","doi":"10.1097/IAE.0000000000004457","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Adequately visualizing the vitreous at times during vitrectomy can be challenging for surgeons. We describe a novel technique using surgical data from the vitrectomy machine to differentiate between vitreous and balanced salt solution (BSS) in real time.</p><p><strong>Methods: </strong>Vitrectomy was performed in ex vivo porcine eyes across a range of vacuum levels and across available vitrectors on the Alcon Constellation. These measurements were repeated after vitrectomy in BSS. All surgeries were recorded and masked reviewers extracted the flow rates for each data point.</p><p><strong>Results: </strong>BSS flow rates were significantly higher (P<0.05) than vitreous flow rates except for 27-gauge at 20,000 cpm and 200 mmHg vacuum (P=0.093). As expected, higher cut rates, gauge, and vacuum corresponded to a higher flow rate. This allows clear differentiation between vitreous and BSS using flow rates as a guide.</p><p><strong>Conclusions: </strong>Inflow rate is a dynamic measurement through the Alcon Constellation System that can give immediate feedback to the surgeon on the substrate they are removing, improving surgical efficiency.</p>","PeriodicalId":54486,"journal":{"name":"Retina-The Journal of Retinal and Vitreous Diseases","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Retina-The Journal of Retinal and Vitreous Diseases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/IAE.0000000000004457","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: Adequately visualizing the vitreous at times during vitrectomy can be challenging for surgeons. We describe a novel technique using surgical data from the vitrectomy machine to differentiate between vitreous and balanced salt solution (BSS) in real time.
Methods: Vitrectomy was performed in ex vivo porcine eyes across a range of vacuum levels and across available vitrectors on the Alcon Constellation. These measurements were repeated after vitrectomy in BSS. All surgeries were recorded and masked reviewers extracted the flow rates for each data point.
Results: BSS flow rates were significantly higher (P<0.05) than vitreous flow rates except for 27-gauge at 20,000 cpm and 200 mmHg vacuum (P=0.093). As expected, higher cut rates, gauge, and vacuum corresponded to a higher flow rate. This allows clear differentiation between vitreous and BSS using flow rates as a guide.
Conclusions: Inflow rate is a dynamic measurement through the Alcon Constellation System that can give immediate feedback to the surgeon on the substrate they are removing, improving surgical efficiency.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
