A guarded light pipe for direct visualization during primary scleral buckling on the Ngenuity platform
Autor: | Konstantinos A A Douglas, Vivian Paraskevi Douglas, John B Miller, Joshua S Agranat |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Guard (information security)
Surgical team Computer science medicine.medical_treatment Intraoperative visualization Mechanical engineering Cannula Scleral buckle Chandelier Retina Display device Visualization Light pipe 03 medical and health sciences Ophthalmology 0302 clinical medicine lcsh:Ophthalmology lcsh:RE1-994 Three-dimensional digital display 030221 ophthalmology & optometry medicine Original Article 030217 neurology & neurosurgery |
Zdroj: | International Journal of Retina and Vitreous International Journal of Retina and Vitreous, Vol 6, Iss 1, Pp 1-4 (2020) |
ISSN: | 2056-9920 |
Popis: | Background Visualization during scleral buckling is traditionally achieved via indirect ophthalmoscopy. Recent advances have utilized the surgical microscope and a 25 gauge cannula-based endoillumination system, also known as a Chandelier lighting system. This report details an improved approach using a guarded 25 or 27 gauge light pipe and the Ngenuity digital three dimensional platform. Methods A standard Alcon light pipe is modified with a silicone guard to expose only 5 mm of the tip of the light pipe. The guard is created from the silicone that is already opened to secure the ends of the encircling band most often employed sleeve (e.g. 70, 270). This guarded light pipe is then inserted into the cannula as an alternative to a Chandelier lighting system. Results This is a technical report of a surgical visualization technique using a three dimensional digital visualization platform with a modified handheld vitrectomy light pipe. Conclusion The utilization of a guarded light pipe for visualization during primary scleral buckling is a promising, effective, and efficient technique. The three dimensional digital display allows for better educational impact and surgical communication with trainees and ancillary members of the surgical team. |
Databáze: | OpenAIRE |
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