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