New soft-tipped instruments for foveal translocation surgery with 360 degrees retinotomy.
Foveal translocation surgery with 360 degrees retinotomy involves several surgical procedures, including creation of a total retinal detachment, rotation of the retina, and complete reattachment of the retina. Some of these procedures, which are time-consuming and difficult to perform, may damage the retina when conventional surgical instruments are used. To make these procedures safer and easier, we have developed 3 soft instruments: an atraumatic forceps, a modified Chang double-barrel cannula with a silicone tip, and a light pipe with a silicone tip. The atraumatic forceps allows the surgeon to grasp and peel off the retina with less damage during the creation of retinal detachment. A bimanual technique using the other 2 instruments allows surgeons to rotate and reattach the detached retina easily and safely. We believe that these soft-tipped instruments make foveal translocation a less complicated surgery.
Ohji
M
M
Department of Ophthalmology, Osaka University Medical School, E7 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan. ohji@ophthal.med.osaka-u.ac.jp
Tano
Y
Y
Scheller
G D
GD
Chang
S
S
D020256:Choroidal Neovascularization / Q000601:surgery*; D005584:Fovea Centralis / Q000637:transplantation*; D006801:Humans; D013508:Ophthalmologic Surgical Procedures / Q000295:instrumentation*