Novel use of Finesse Flex loop for macular hole retinal detachment
Purpose: To report a new surgical technique with a Finesse Flex loop during internal limiting membrane (ILM) peeling for a case of macular hole retinal detachment (MHRD). Observations: A 55-year-old woman with a history of macular hemorrhage due to high myopia underwent 25-gauge vitrectomy combined...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-06-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993620300621 |
| _version_ | 1818278928477847552 |
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| author | Masaomi Kubota Tomoyuki Watanabe Takaaki Hayashi Akira Watanabe Tadashi Nakano |
| author_facet | Masaomi Kubota Tomoyuki Watanabe Takaaki Hayashi Akira Watanabe Tadashi Nakano |
| author_sort | Masaomi Kubota |
| collection | DOAJ |
| description | Purpose: To report a new surgical technique with a Finesse Flex loop during internal limiting membrane (ILM) peeling for a case of macular hole retinal detachment (MHRD). Observations: A 55-year-old woman with a history of macular hemorrhage due to high myopia underwent 25-gauge vitrectomy combined with cataract surgery for MHRD. After core vitrectomy, ILM peeling was performed for macular hole (MH) closure with a novel use of a Finesse Flex loop. While holding down the detached retina with the Finesse Flex loop with one hand, ILM peeling was conducted from the temporal to nasal side with the other hand using ILM forceps. Inverted ILM flap technique was combined, and fluid-gas exchange with 12% octafluoropropane tamponade was performed. The MH was closed, and the retina was attached with no postoperative complication. The logMAR best-corrected visual acuity improved post-treatment. Conclusions and Importance: The Finesse Flex loop can be used to control the retina when performing ILM peeling on a detached retina in MHRD patients. |
| first_indexed | 2024-12-12T23:25:14Z |
| format | Article |
| id | doaj.art-4dc195b5e07f48c787fa2168fbd13a32 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-12T23:25:14Z |
| publishDate | 2020-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-4dc195b5e07f48c787fa2168fbd13a322022-12-22T00:08:06ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362020-06-0118Novel use of Finesse Flex loop for macular hole retinal detachmentMasaomi Kubota0Tomoyuki Watanabe1Takaaki Hayashi2Akira Watanabe3Tadashi Nakano4Department of Ophthalmology, The Jikei University School of Medicine, Tokyo, Japan; Department of Ophthalmology, The Jikei University School of Medicine Katsushika Medical Center, Tokyo, Japan; Corresponding author. Department of Ophthalmology, The Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo, 105-8461, Japan. Tel.: +81 3 3433 1111x3581; fax: +81 3 3433 1936.Department of Ophthalmology, The Jikei University School of Medicine, Tokyo, JapanDepartment of Ophthalmology, The Jikei University School of Medicine, Tokyo, Japan; Department of Ophthalmology, The Jikei University School of Medicine Katsushika Medical Center, Tokyo, JapanDepartment of Ophthalmology, The Jikei University School of Medicine, Tokyo, JapanDepartment of Ophthalmology, The Jikei University School of Medicine, Tokyo, JapanPurpose: To report a new surgical technique with a Finesse Flex loop during internal limiting membrane (ILM) peeling for a case of macular hole retinal detachment (MHRD). Observations: A 55-year-old woman with a history of macular hemorrhage due to high myopia underwent 25-gauge vitrectomy combined with cataract surgery for MHRD. After core vitrectomy, ILM peeling was performed for macular hole (MH) closure with a novel use of a Finesse Flex loop. While holding down the detached retina with the Finesse Flex loop with one hand, ILM peeling was conducted from the temporal to nasal side with the other hand using ILM forceps. Inverted ILM flap technique was combined, and fluid-gas exchange with 12% octafluoropropane tamponade was performed. The MH was closed, and the retina was attached with no postoperative complication. The logMAR best-corrected visual acuity improved post-treatment. Conclusions and Importance: The Finesse Flex loop can be used to control the retina when performing ILM peeling on a detached retina in MHRD patients.http://www.sciencedirect.com/science/article/pii/S2451993620300621Finesse flex loopMembrane peelingMacular hole retinal detachmentVitrectomyInverted |
| spellingShingle | Masaomi Kubota Tomoyuki Watanabe Takaaki Hayashi Akira Watanabe Tadashi Nakano Novel use of Finesse Flex loop for macular hole retinal detachment American Journal of Ophthalmology Case Reports Finesse flex loop Membrane peeling Macular hole retinal detachment Vitrectomy Inverted |
| title | Novel use of Finesse Flex loop for macular hole retinal detachment |
| title_full | Novel use of Finesse Flex loop for macular hole retinal detachment |
| title_fullStr | Novel use of Finesse Flex loop for macular hole retinal detachment |
| title_full_unstemmed | Novel use of Finesse Flex loop for macular hole retinal detachment |
| title_short | Novel use of Finesse Flex loop for macular hole retinal detachment |
| title_sort | novel use of finesse flex loop for macular hole retinal detachment |
| topic | Finesse flex loop Membrane peeling Macular hole retinal detachment Vitrectomy Inverted |
| url | http://www.sciencedirect.com/science/article/pii/S2451993620300621 |
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