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ARTICLES
Year : 1979  |  Volume : 27  |  Issue : 4  |  Page : 101-102

Closed parspiana vitrectomy


Retina Foundation, Aso-Palov Eye Hospital, Ahemdabad, India

Correspondence Address:
P N Nagpal
Retina Foundation, Aso-Palov Eye Hospital, Near Rajbhavan Road, Shahibag Ahemdabad
India
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Nagpal P N. Closed parspiana vitrectomy. Indian J Ophthalmol 1979;27:101-2

How to cite this URL:
Nagpal P N. Closed parspiana vitrectomy. Indian J Ophthalmol [serial online] 1979 [cited 2020 Aug 13];27:101-2. Available from: http://www.ijo.in/text.asp?1979/27/4/101/32589

The credit for closed parspiana vitrec­tomy goes to Machemer and Peyrnan. This paper reports our preliminary experience on 11 cases of vitrectomy carried out by the Peyman's disposable vitreophage connected to an indigenous console unit [Figure - 1]. The disposable vitreophage has been repeatedly used.


  Materials and Methods Top


Peyman disposable vitreophage is a pencil in which three things i.e. suction, infusion and cutting of vitreous are simultaneously possible. The vitreophage is connec­ted to the console, through three tubes. The patient can be operated under general or local anaesthesia. Conjunctiva is cut in the upper outer quadrant and the two recti are held by 4-0 silk sutures.

About 8 mm away from limbus a 3 mm long radial incision is given equidistant from the two recti. The choroid is exposed through the incision. Surface dia­thermy is applied around the incision. A mattress suture is applied and the tip of vitreophage is inserted. The suture is tied by a surgical knot. The vitreophage is started. A great care is taken to move the tip of the pencil with in the eye in such a way that it does not come very close to the retina and lens. The procedure of cutting and cleaning the vitreous is monitored by a binocular indirect ophthalmoscope. To the infusion fluid (dextrose saline 5%) a vial of garamycin solution (2 cc) is mixed. After the procedure is over, the pencil is with­drawn and simultaneously the wound is closed by tying the mattress stitch further. Before withdrawing the pencil, tension of the eye ball should be normal.

For 24 hours both the eyes of the patients were bandaged in order to give absolute rest to the eye. Systemic and local antibiotics were started.


  Results and comments Top


Eleven vitrectomies have been attempted. The vitreous could be cleared without compli­cation in 4 cases. Visual improvement was commendable in 3 of them. My selection of cases was not good. Hence the results were not good. I have mainly confined myself to non-absorbing and organising haemorrhage. The main idea is to introduce this vitreophage and the indigenous console.


    Figures

  [Figure - 1]



 

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