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10 K玻璃体切割头在玻璃体视网膜手术中的应用进展
作者:夏文琼1  谭歆荟2  张雨鑫2  杨晓春2 
单位:1. 大理大学 临床医学院, 云南 大理 671000;
2. 云南省第一人民医院 眼科, 云南 昆明 650032
关键词:玻璃体切割术 切割速率 微创手术 增殖期糖尿病视网膜病变 孔源性视网膜脱离 黄斑前膜 
分类号:R779.6
出版年·卷·期(页码):2024·52·第一期(163-168)
摘要:

三通道闭式玻璃体切割术是治疗眼底多种疾病的一种重要方法,如出血性、炎症性、牵拉性、增生性等疾病。随着医疗技术的发展和对手术精准微创等操作要求的提高,玻璃体切割技术也在不断发展。其中切割术率的提升是一个巨大的进步。20 G切割头标志着手术进入微创时代,5 K的切割速率则标志着该手术进入高速时代。而近期,10 K玻璃体切割技术开始在临床应用,这为眼底手术带来了革新性进步。本文主要对10 K玻璃体切割头的特点和它在玻璃体视网膜手术中的应用进展进行综述。

参考文献:

[1] MACHEMER R,PAREL J M,BUETTNER H.A new concept for vitreous surgery[J].Am J Ophthalmol,1972,73:1-7.
[2] O'MALLEY C,HEINTA R M Sr.Vitrectomy with an alternative instrument system[J].Ann Ophthalmol,1975,7:591-594.
[3] FUJII G Y,De JUAN Jr E,HUMAYUN M S,et al.A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery[J].Ophthalmology,2002,109(10):1807-1812.
[4] STAIMANS P.A comparative study of 23-gauge and 27-gauge vitrectomy for puckers or floaters,including evaluation of the effect of combined phaco-vitrectomy surgery on postoperative outcome[J].Ophthalmologica,2021,244:245-249.
[5] ECKARDT C.Transconjunctival sutureless 23-gauge vitrectomy[J].Retina,2005,25(2):408-415.
[6] OTSUKA K,IMAI H,FUJII A,et al.Comparison of 25-and 27-gauge pars plana vitrectomy in repairing primary rhegmatogenous retinal detachment[J].Journal of Ophthalmology,2018,2018:7643174.
[7] OSAWAA S, OSHIMAB Y.27-gauge vitrectomy[J].Dev Ophthalmol,2014,54:54-62.
[8] RIZZO S,PATELLI F,CHOW D R.Vitreo-retinal surgery-essentials in ophthalmology[M].Berlin Heidelberg:Springer Verlag,2009.
[9] SALEH O A,ALSHAMARTI S A,ABU-YAGHI N E.Comparison of characteristics and clinical outcomes in 27-gauge versus 23-gauge vitrectomy surgery[J].Clinical Ophthalmology,2020,14:1553-1558.
[10] OSHIMA Y,WAKABAYASHI T,SATO T,et al.A 27-gauge instrument system for transconjunctival sutureless microinsicion vitrectomy surgery[J].Ophthalmology,2010,117:188-193.
[11] YOMODA R,SASAKI H,KOGO J,et al.Comparative study of straight vs angled incision in 27-gauge vitrectomy for epiretinal membrane[J].Clinical Ophthalmology,2018,12:2409-2414.
[12] OSAWAA S,OSHIMAB Y.27-gauge vitrectomy[J].Dev Ophthalmol,2014,54:54-62.
[13] FUJII G Y,De JUAN E,HUMAYUN M S,et al.Initial experience using the transconjunctival sutureless vitrectomy system for vitreoretinal surgery[J].Ophthalmology,2002,109(10):1814-1820.
[14] HIRASHIMA T,UTSUMI T,HIROSE M,et al.Influences of 27-gauge vitrectomy on corneal topographic conditions[J].Journal of Ophthalmology,2017,2017:8320909.
[15] CHEN P L,CHEN Y T,CHEN S N.Comparison of 27-gauge and 25-gauge vitrectomy in the management of tractional retinal detachment secondary to proliferative diabetic retinopathy[J].PLoS One,2021,16(3):e0249139.
[16] TEIXEIRA A,CHONG L P,MATSUOKA N,et al.Vitreoretinal traction created by conventional cutters during vitrectomy[J].Ophthalmology,2010,117(7):1387-1392.e2.
[17] OSHIMA Y,CHOW D R,AWH C C,et al.Novel mercury vapor illuminator combined with a 27/29-gauge chandelier light fiber for vitreous surgery[J].Retina,2008,28(1):171-173.
[18] ECKARDT C,ECKERT T,ECKARDT U.27-gauge twinlight chandelier illumination system for bimanual transconjunctival vitrectomy[J].Retina,2008,28(3):518-519.
[19] KHAN M A,SHAHLAEE A,TOUSSAINT B,et al.Outcomes of 27 gauge microincision vitrectomy surgery for posterior segment disease[J].Am J Ophthalmol,2016,161:36-43.e1-2.
[20] JIANG X,ZHANG S,ZHANG Z,et al.Comparative study of 27-gauge versus 25-gauge vitrectomy with air tamponade in the treatment of myopic foveoschisis[J].Osli Retina,2018,49(10):e135-e142.
[21] MA J,WANG Q,NIU H.Comparison of 27-gauge and 25-gauge microincision vitrectomy surgery for the treatment of vitreoretinal aisease:a systematic review and meta-analysis[J].Journal of Ophthalmology,2020,2020:6149692.
[22] VERITTI D,SARAO V,LANZETTA P.A propensity-score matching comparison between 27-gauge and 25-gauge vitrectomy systems for the repair of primary rhegmatogenous retinal detachment[J].Journal of Ophthalmology,2019,2019:3120960.
[23] LI J,ZHAO B,LIU S,et al.Retrospective comparison of 27-gauge and 25-gauge microincision vitrectomy surgery with silicone oil for the treatment of primary rhegmatogenous retinal detachment[J].Journal of Ophthalmology,2018,2018:7535043.
[24] ARWEG J G,OUASSI D,PFISTER I B.Hybrid 23/27 gauge vitrectomy-combining the charm of 27G with the efficacy of 23G[J].Clin Ophthalmol,2020,14:299-305.
[25] INOUE M,KOTO T,HIRAKATA A.Comparisons of flow dynamics of dual-blade to single-blade beveled-tip vitreous cutters[J].Ophthalmic Res,2022,65(2):216-228.
[26] DUGEL P U,ABULON D J,DINALANRA R.Comparison of attraction capabilities associated with high-speed,dual-pneumatic vitrectomy probes[J].Retina,2015,35(5):915-920.
[27] KHAN M A,KULEY A,RIEMANN C D,et al.Long-term visual outcomes and safety profile of 27-gauge pars plana vitrectomy for posterior segment disease[J].Ophthalmology,2018,125(3):423-431.
[28] LI J,LIU S M,DONG W T,et al.Outcomes of trans conjunctival sutureless 27-gauge vitrectomy for vitreoretinal diseases[J].International Journal of Ophthalmology,2018,11(3):408-415.
[29] NARUSE S,SHIMADA H,MORI R.27-gauge and 25-gauge vitrectomy day surgery for idiopathic epiretinal membrane[J].BMC Ophthalmology,2017,17(1):188.
[30] RIZZO S,BARCA F,CAPOROSSI T,et al.Twenty seven gauge vitrectomy for various vitreoretinal diseases[J].Retina,2015,35(6):1273-1278.
[31] INOUE M,KOTO T,HIRAKATA A.Flow dynamics of beveled-tip and flat-tip vitreous cutters[J].Retina,2021,41(2):445-453.
[32] 方冬,魏雁涛,张钊填.27 G玻璃体切割联合空气填充术治疗孔源性视网膜脱离的疗效及安全性[J].中华实验眼科杂志,2018,36(1):51-55.
[33] 苏定旺,岑志敏,刘浇艺.27 G玻璃体切除原位切膜法治疗晚期增殖性糖尿病视网膜病变[J].国际眼科杂志,2018,18(7):1310-1312.
[34] LIAO L,ZHU X H.Advances in the treatment of rhegmatogenous retinal detachment[J].Int J Ophthalmol,2019,12(4):660-667.
[35] 韩光杰,黄红波,陈秋菊.27 G玻璃体切割系统的临床应用进展[J].右江医学,2020,48(6):47l-474.
[36] KWOK A K,LAI T Y,YIP W W.Vitrectomy and gas tamponade without internal limiting membrane peeling for myopic foveoschisis[J].Brit J Ophthalmol,2005,89(9):1180-1183.
[37] BLANCO-TEIJEIRO M J,BANDE R M,MANSILLA C R,et al.Effects of internal limiting membrane peeling during vitrectomy for macula-off primary rhegmatogenous retinal Detachment[J].Eur J Ophthalmol,2018.28(6):706-713.
[38] PARK D W,DUGEL P U,GARDA J,et al.Macular pucker removal with and without internal limiting membrane peeling:pilot study[J].Ophthalmology,2003,110(1):62-64.
[39] SAKAMOTO H,YAMANAKA I,KUBOTA T,et al.Indocyanine green-assisted peeling of the epiretinal membrane in proliferative vitreoretinopathy[J].Graefes Arch Clin Exp Ophthalmol,2003,241(3):204-207.
[40] KAMPIK A.Pathology of epiretinal membrane,idiopathic macular hole,and vitreomacular traction syndrome[J].Retina,2012,32(2):194-198.

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