The use of minimally invasive techniques in cataract surgery and vitrectomy

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Published: Jun 30, 2016
Keywords:
cataract, vitrectomy, MIVS, MICS, phacoemulsification

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Małgorzata Ozimek
Klinika Okulistyki Ogólnej, Uniwersytet Medyczny w Lublinie
Katarzyna Nowakowska
Klinika Okulistyki Ogólnej, Uniwersytet Medyczny w Lublinie
Beata Gajda
Klinika Okulistyki Ogólnej, Uniwersytet Medyczny w Lublinie
Ewelina Cisek
1. Klinika Okulistyki Ogólnej, Uniwersytet Medyczny w Lublinie. 2. Zakład Anatomii Prawidłowej Człowieka, Katedra Nauk Morfologicznych, Uniwersytet Rzeszowski
Agata Wykrota
Klinika Okulistyki Ogólnej, Uniwersytet Medyczny w Lublinie
Tomasz Chorągiewicz
Klinika Okulistyki Ogólnej, Uniwersytet Medyczny w Lublinie
Katarzyna Nowomiejska
Klinika Okulistyki Ogólnej, Uniwersytet Medyczny w Lublinie
Robert Rejdak
Klinika Okulistyki Ogólnej, Uniwersytet Medyczny w Lublinie

Abstract

Nowadays, there is a tendency in ophthalmic surgery of minimising of a diameter of tools and surgical wounds. The use of small diameter instruments for cataract surgery (1.8 to 2.2 mm of incision) and vitrectomy (23G, 25G, 27G) may result in smaller incisions, shorter treatment and faster recovery after the procedure. Thereby, to this day a lot of effort has been put in ophthalmic surgery to miniaturize surgical tools and to minimize area of the injury. New operating machines allow to perform high-speed cutting (7,500/min), and allow easy change between the module vitrectomy and phacoemulsification. Development of new techniques for the cataract surgery has necessitated the emergence of new surgical instruments, machine for phacoemulsification and new intraocular lenses. Anatomic and functional outcomes of microincision vitrectomy and cataract surgery have improved when compared to the procedures carried out by conventional techniques, an additional benefit is greater patient satisfaction.

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How to Cite
1.
Ozimek M, Nowakowska K, Gajda B, Cisek E, Wykrota A, Chorągiewicz T, Nowomiejska K, Rejdak R. The use of minimally invasive techniques in cataract surgery and vitrectomy. Ophthatherapy [Internet]. 2016Jun.30 [cited 2024Nov.22];3(2):116-23. Available from: https://journalsmededu.pl/index.php/ophthatherapy/article/view/601
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Vol 3 No 2 (2016)
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Articles
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References

1. de Juan E, Hickingbotham D. Refinements in micro instrumentation for vitreous surgery. Am J Ophthalmol. 1990; 109(2): 218-20.
2. Eckardt C. Transconjunctival sutureless 23-gauge vitrectomy. Retina. 2005; 25(2): 208-11.
3. Hubschman JP, Gupta A, Bourla DH et al. 20-, 23-, and 25-gauge vitreous cutters: performance and characteristics evaluation. Retina. 2008; 28(2): 249-57.
4. Fabian ID, Moisseiev J. Sutureless vitrectomy: evolution and current practices. Br J Ophthalmol. 2011; 95(3): 318-24.
5. Diniz B, Fernandes RB, Ribeiro RM et al. Analysis of a 23-gauge ultra high-speed cutter with duty cycle control. Retina. 2013; 33(5): 933-8.
6. Steel DH, Charles S. Vitrectomy fluidics. Ophthalmologica. 2011; 226(suppl. 1): 27-35.
7. Sugiura Y, Okamoto F, Okamoto Y et al. Intraocular pressure fluctuation during microincision vitrectomy with constellation vision system. Am J Ophthalmol. 2013; 156(5): 941-7.
8. Arevalo JF, Berrocal MH, Arias JD et al. Minimally invasive vitreoretinal surgery: is sutureless vitrectomy the future of vitreoretinal surgery? J Ophthalmic Vis Res. 2011; 6(2): 136-44.
9. Ohji M, Tano Y. A stiffer and safer light pipe for 25-gauge vitrectomy. Arch Ophthalmol. 2007; 125(10): 1415-6.
10. Kaiser PK, Moshfeghi D, Barakat M et al. Enhancements for microincision surgery. Paper presented at Vail Vitrectomy. March 13-17, 2010.
11. Magalhaes O, Chong LM, DeBoer CB et al. Vitreous dynamics: Vitreous flow analysis in 20-, 23-, and 25-gauge cutters. Retina. 2008; 28(2): 236-41.
12. Fang SY, DeBoer CM, Humayun MS. Performance analysis of new-generation vitreous cutters. Graefes Arch Clin Exp Ophthalmol. 2008; 246(1): 61-7.
13. Sandali O, El Sanharawi M, Lecuen N. 25-, 23-, and 20-gauge vitrectomy in epiretinal membrane surgery: a comparative study of 553 cases. Graefes Arch Clin Exp Ophthalmol. 2011; 249(12): 1811-9.
14. Kelman CD. Phaco-emulsification and aspiration. A new technique of cataract removal. A preliminary report. Am J Ophthalmol. 1967; 64(1): 23-35.
15. Mazzocco TR, Davidson BM. Insertion technique and clinical experience with silicone lenses. In: Mazzocco TR, Rajacich GM, Epstein E (ed). Soft Implant Lenses in Cataract Surgery. Slack, New Jersey 1986: 97-106.
16. Alió J, Rodriguez-Prats JL, Galal A. Advances in microincision cataract surgery intraocular lenses. Curr Opin Ophthalmol. 2006; 17(1): 80-93.
17. Alió JL, Elkady B, Ortiz D. Corneal Optical Quality Following Sub 1.8 mm Micro-Incision Cataract Surgery vs. 2.2 mm Mini-Incision Coaxial Phacoemulsification. Middle East Afr J Ophthalmol. 2010; 17(1): 94-9.
18. Alió J, Rodriguez-Prats JL, Galal A et al. Outcomes of microincision cataract surgery versus coaxial phacoemulsification. Ophthalmology. 2005; 112(11): 1997-2003.
19. Han YK, Miller KM. Comparison of vacuum rise time, vacuum limit accuracy, and occlusion break surge of 3 new phacoemulsification systems. J Cataract Refract Surg. 2009; 35(8): 1424-9.
20. Sharif-Kashani P, Fanney D, Injev V. Comparison of occlusion break responses and vacuum rise times of phacoemulsification systems. BMC Ophthalmol. 2014; 14: 96.
21. Liu Y, Zeng M, Liu X. Torsional mode versus conventional ultrasound mode phacoemulsification: randomized comparative clinical study. J Cataract Refract Surg. 2007; 33(2): 287-92.
22. Rekas M, Montés-Micó R, Krix-Jachym K et al. Comparison of torsional and longitudinal modes using phacoemulsification parameters. J Cataract Refract Surg. 2009; 35(10): 1719-24.
23. Chen M, Anderson E, Hill G. Comparison of cumulative dissipated energy between the Infiniti and Centurion phacoemulsification systems. Clin Ophthalmol. 2015; 9: 1367-72.
24. Han YK, Miller KM. Heat production: Longitudinal versus torsional phacoemulsification. J Cataract Refract Surg. 2009; 35(10): 1799-805.
25. Vasavada AR, Vasavada V, Vasavada VA. Comparison of the effect of torsional and microburst longitudinal ultrasound on clear corneal incisions during phacoemulsification. J Cataract Refract Surg. 2012; 38(5): 833-9.