title: Unassisted Scleral Depression During Vitrectomy Surgery: Two Simple, Cost-Effective Techniques.
abstract: OBJECTIVE
  The ability to visualize and work in the region of the vitreous base during vitrectomy surgery is important. However, this usually requires the use of a surgical assistant for scleral depression or expensive chandelier systems requiring extra incisions. The authors describe two alternative simple, cost-effective techniques to independently and simultaneously view and cut (or apply laser) in this difficult anatomical region.
  
  
  METHODS
  Light-pipe assisted scleral depression using a standard light pipe and ring depressor indentation while maintaining two intraocular instruments are described.
  
  
  CONCLUSIONS
  The described techniques are simple, cost-effective, safe, suitable for phakic and pseudo-phakic patients, and allow the surgeon to operate independently with maximum control.
authors.forename: Efrem D
authors.initials: ED
authors.lastname: Mandelcorn
authors.forename: Joshua S
authors.initials: JS
authors.lastname: Manusow
authors.forename: D Wilkin
authors.initials: DW
authors.lastname: Parke
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Albini
mesh_terms: D003362:Cost-Benefit Analysis; D005128:Eye Diseases / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy / Q000379:methods; D008029:Lighting / Q000295:instrumentation; D012590:Sclera / Q000601:surgery*; D014821:Vitrectomy / Q000191:economics* / Q000379:methods*; D014822:Vitreous Body / Q000601:surgery*