Preferences help
enabled [disable] Abstract
Number of results
2016 | 3 | 2 | 116-123
Article title

Zastosowanie technik miniinwazyjnych w chirurgii zaćmy i witrektomii

Title variants
The use of minimally invasive techniques in cataract surgery and vitrectomy
Languages of publication
Nowadays, there is a tendency in ophthalmic surgery of minimising of a diameter of tools and surgical wounds. The use of small diameter instruments for cataract surgery (1.8 to 2.2 mm of incision) and vitrectomy (23G, 25G, 27G) may result in smaller incisions, shorter treatment and faster recovery after the procedure. Thereby, to this day a lot of effort has been put in ophthalmic surgery to miniaturize surgical tools and to minimize area of the injury. New operating machines allow to perform high-speed cutting (7,500/min), and allow easy change between the module vitrectomy and phacoemulsification. Development of new techniques for the cataract surgery has necessitated the emergence of new surgical instruments, machine for phacoemulsification and new intraocular lenses. Anatomic and functional outcomes of microincision vitrectomy and cataract surgery have improved when compared to the procedures carried out by conventional techniques, an additional benefit is greater patient satisfaction.
W chirurgii okulistycznej od wielu lat dąży się do miniaturyzowania narzędzi oraz minimalizowania ran operacyjnych. Zastosowanie instrumentarium o małej średnicy w chirurgii zaćmy (cięcie od 1,8 do 2,2 mm) i witrektomii (23G, 25G i 27G) umożliwia wykonywanie małych cięć, co eliminuje szycie oraz skraca czas zabiegu, a następnie przyspiesza powrót do zdrowia po operacji. Nowe systemy operacyjne do witrektomii pozwalają na przeprowadzenie zabiegu chirurgicznego dużej szybkości cięć (7500/min) oraz umożliwiają łatwą zmianę pomiędzy modułem witrektomii i fakoemulsyfikacji. Rozwój nowych technik operacji zaćmy wymógł pojawienie się nowych narzędzi chirurgicznych, urządzeń do fakoemulsyfikacji, a także nowych soczewek wewnątrzgałkowych. Wyniki anatomiczne i funkcjonalne technik małego cięcia w witrektomii i operacji zaćmy są lepsze niż rezultaty zabiegów wykonywanych konwencjonalnymi technikami. Dodatkową korzyścią jest większe zadowolenie pacjentów.
Physical description
  • 1. de Juan E, Hickingbotham D. Refinements in micro instrumentation for vitreous surgery. Am J Ophthalmol 1990; 109(2): 218-220.
  • 2. Eckardt C. Transconjunctival sutureless 23-gauge vitrectomy. Retina 2005; 25(2): 208-211.
  • 3. Hubschman JP, Gupta A, Bourla DH, et al. 20-, 23-, and 25-gauge vitreous cutters: performance and characteristics evaluation. Retina 2008; 28(2): 249-257.
  • 4. Fabian ID, Moisseiev J. Sutureless vitrectomy: evolution and current practices. Br J Ophthalmol 2011; 95(3): 318-324.
  • 5. Diniz B, Fernandes RB, Ribeiro RM, et al. Analysis of a 23-gauge ultra high-speed cutter with duty cycle control. Retina 2013; 33(5): 933-938.
  • 6. Steel DH, Charles S. Vitrectomy fluidics. Ophthalmologica 2011; 226(suppl. 1): 27-35.
  • 7. Sugiura Y, Okamoto F, Okamoto Y, et al. Intraocular pressure fluctuation during microincision vitrectomy with constellation vision system. Am J Ophthalmol 2013; 156(5): 941-947.
  • 8. Arevalo JF, Berrocal MH, Arias JD, Banaee T. Minimally invasive vitreoretinal surgery: is sutureless vitrectomy the future of vitreoretinal surgery? J Ophthalmic Vis Res 2011; 6(2): 136-144.
  • 9. Ohji M, Tano Y. A stiffer and safer light pipe for 25-gauge vitrectomy. Arch Ophthalmol 2007; 125(10): 1415-1416.
  • 10. Kaiser PK, Moshfeghi D, Barakat M, et al. Enhancements for microincision surgery. Paper presented at Vail Vitrectomy. March 13-17, 2010.
  • 11. Magalhaes O, Chong LM, DeBoer CB, et al. Vitreous dynamics: Vitreous flow analysis in 20-, 23-, and 25-gauge cutters. Retina 2008; 28(2): 236-241.
  • 12. Fang SY, DeBoer CM, Humayun MS. Performance analysis of new-generation vitreous cutters. Graefes Arch Clin Exp Ophthalmol 2008; 246(1): 61-67.
  • 13. Sandali O, El Sanharawi M, Lecuen N. 25-, 23-, and 20-gauge vitrectomy in epiretinal membrane surgery: a comparative study of 553 cases. Graefes Arch Clin Exp Ophthalmol 2011; 249(12): 1811-1819.
  • 14. Kelman CD. Phaco-emulsification and aspiration. A new technique of cataract removal. A preliminary report. Am J Ophthalmol 1967; 64(1): 23-35.
  • 15. Mazzocco TR, Davidson BM. Insertion technique and clinical experience with silicone lenses. In: Mazzocco TR, Rajacich GM, Epstein E (eds.). Soft Implant Lenses in Cataract Surgery. Slack, New Jersey 1986: 97-106.
  • 16. Alió J, Rodriguez-Prats JL, Galal A. Advances in microincision cataract surgery intraocular lenses. Curr Opin Ophthalmol 2006; 17(1): 80-93.
  • 17. Alió JL, Elkady B, Ortiz D. Corneal Optical Quality Following Sub 1.8 mm Micro-Incision Cataract Surgery vs. 2.2 mm Mini-Incision Coaxial Phacoemulsification. Middle East Afr J Ophthalmol 2010; 17(1): 94-99.
  • 18. Alió J, Rodriguez-Prats JL, Galal A, Ramzy M. Outcomes of microincision cataract surgery versus coaxial phacoemulsification. Ophthalmology 2005; 112(11): 1997-2003.
  • 19. Han YK, Miller KM. Comparison of vacuum rise time, vacuum limit accuracy, and occlusion break surge of 3 new phacoemulsification systems. J Cataract Refract Surg 2009; 35(8): 1424-1429.
  • 20. Sharif-Kashani P, Fanney D, Injev V. Comparison of occlusion break responses and vacuum rise times of phacoemulsification systems. BMC Ophthalmol 2014; 14: 96.
  • 21. Liu Y, Zeng M, Liu X. Torsional mode versus conventional ultrasound mode phacoemulsification: randomized comparative clinical study. J Cataract Refract Surg 2007; 33(2): 287-292.
  • 22. Rekas M, Montés-Micó R, Krix-Jachym K, et al. Comparison of torsional and longitudinal modes using phacoemulsification parameters. J Cataract Refract Surg 2009; 35(10): 1719-1724.
  • 23. Chen M, Anderson E, Hill G. Comparison of cumulative dissipated energy between the Infiniti and Centurion phacoemulsification systems. Clin Ophthalmol 2015; 9: 1367-1372.
  • 24. Han YK, Miller KM. Heat production: Longitudinal versus torsional phacoemulsification. J Cataract Refract Surg 2009; 35(10): 1799- -1805.
  • 25. Vasavada AR, Vasavada V, Vasavada VA. Comparison of the effect of torsional and microburst longitudinal ultrasound on clear corneal incisions during phacoemulsification. J Cataract Refract Surg 2012; 38(5): 833-839.
Document Type
Publication order reference
YADDA identifier
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.