{"title":"术中见金刚石粉尘颗粒","authors":"Neesurg S. Mehta","doi":"10.47363/jorrr/2020(2)108","DOIUrl":null,"url":null,"abstract":"A 68-year-old female with a full-thickness macular hole in the right eye was referred for surgical repair. The patient underwent pars plana vitrectomy with internal limiting membrane (ILM) peeling and intraocular gas injection. During the surgery, the ILM was stained using Brilliant Blue G solution, elevated using a diamond-dusted membrane scraper, and removed using vitreoretinal forceps. After ILM removal, white refractile particles (arrow) likely corresponding to diamond dust particles were noted on the retinal surface (panel A), and appeared hyperreflective on intraoperative optical coherence tomography (iOCT; panel B). Attempts at aspirating these particles were unsuccessful.","PeriodicalId":373984,"journal":{"name":"Journal of Ophthalmology Research Reviews & Reports","volume":"19 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Diamond Dust Particles Seen on Intraoperative Oct\",\"authors\":\"Neesurg S. Mehta\",\"doi\":\"10.47363/jorrr/2020(2)108\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"A 68-year-old female with a full-thickness macular hole in the right eye was referred for surgical repair. The patient underwent pars plana vitrectomy with internal limiting membrane (ILM) peeling and intraocular gas injection. During the surgery, the ILM was stained using Brilliant Blue G solution, elevated using a diamond-dusted membrane scraper, and removed using vitreoretinal forceps. After ILM removal, white refractile particles (arrow) likely corresponding to diamond dust particles were noted on the retinal surface (panel A), and appeared hyperreflective on intraoperative optical coherence tomography (iOCT; panel B). Attempts at aspirating these particles were unsuccessful.\",\"PeriodicalId\":373984,\"journal\":{\"name\":\"Journal of Ophthalmology Research Reviews & Reports\",\"volume\":\"19 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-03-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Ophthalmology Research Reviews & Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.47363/jorrr/2020(2)108\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Ophthalmology Research Reviews & Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.47363/jorrr/2020(2)108","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
一位68岁女性右眼黄斑全层裂孔接受手术修复。患者行玻璃体切除伴内限制膜剥离及眼内注气术。手术过程中，用Brilliant Blue G溶液对眼内膜进行染色，用金刚石涂膜刮刀将其升高，并用玻璃体视网膜钳将其取出。去除ILM后，视网膜表面(图A)可见可能与金刚石粉尘颗粒对应的白色折射颗粒(箭头)，术中光学相干断层扫描(iOCT)显示为高反射;图B).尝试吸入这些颗粒是不成功的。
A 68-year-old female with a full-thickness macular hole in the right eye was referred for surgical repair. The patient underwent pars plana vitrectomy with internal limiting membrane (ILM) peeling and intraocular gas injection. During the surgery, the ILM was stained using Brilliant Blue G solution, elevated using a diamond-dusted membrane scraper, and removed using vitreoretinal forceps. After ILM removal, white refractile particles (arrow) likely corresponding to diamond dust particles were noted on the retinal surface (panel A), and appeared hyperreflective on intraoperative optical coherence tomography (iOCT; panel B). Attempts at aspirating these particles were unsuccessful.
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