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25+ 27G EVOLUTION IN BIMANUAL
PRIMARY VITRECTOMY FOR RD
A.NIKOLAKOPOULOS
PAPANIKOLAOY HOSPITAL
THESSALONIKI GREECe
anikolako@yahoo.gr
๏€ช WIDE ANGLE NON CONTACT (EIBOS 2)VIEWING
SYSTEM
๏€ช CHANDELIER LIGHTS
๏€ช SCLERAL DEPRESSURE
๏€ช EXELENT PROBE ABILITIES
๏€ช (CONSTELLATION 25+ 7500 CPM)
๏€ช (CONSTELLATION 27G 7500 CPM)
INSTRUMENTATION
BIMANUAL PRIMARY VITRECTOMY
SET UP
๏€ช ANOTHER SURGICAL HAND
๏€ช SCLERAL DIPRESSURE BY THE SURGEON
๏€ช DUAL SIMULTANEOUS INFUSION EXTRUSION
๏€ช LASER AND BLOOD EXTRUSION
๏€ช CRYO AND VITRECTOMY
๏€ช SIMULTANEOUS EXCHANGE OF PFCL AND 5700
SILICON OIL UNDER VISUAL CONTROL
๏€ช C O N T R O L B Y T H E S U R G E O N
WHY BIMANUAL
๏€ช DETECTION OF TEARS
๏€ช SAFER SHAVING
๏€ช MANIPULATIONS VERY CLOSE TO THE RETINA
๏€ช MINIMAZING IATROGENIC TEARS
EXTENSION OF OUR ABILITIES
SUBRETINAL FLUID REMOVAL
READY
HIGH SPEED CONTROL SHAVING
AIR EXCHANGE
ALCON 27G
CONSTELLATION
๏€ช ALCON 27 G+ STIFER REINFORCED PROBE
๏€ช FLOW RATE SIMILAR TO OLD 25
๏€ช LESS OBSCURING, DELICATE MANIPOULATION IN
SURFACE TABLE TOP MEMBRANES ,AS IN TRD
๏€ช LESS HYPOTONY
๏€ช FINALLY BECAUSE IT IS THERE
๏€ช AND GET READY FOR THE NEXT STEP -
๏€ช IN OFFICE BASED- VITRECTOMY
IS THERE A NEED FOR 27G ?
2.8 FLOW RATE
4,2 FLOW RATE
RIHGT HAND DETECTION
OTHER HAND SHAVING
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