A guarded light pipe for direct visualization during primary scleral buckling on the Ngenuity platform
Abstract Background Visualization during scleral buckling is traditionally achieved via indirect ophthalmoscopy. Recent advances have utilized the surgical microscope and a 25 gauge cannula-based endoillumination system, also known as a Chandelier lighting system. This report details an improved app...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-09-01
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| Series: | International Journal of Retina and Vitreous |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40942-020-00246-9 |
| _version_ | 1818324789966667776 |
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| author | Joshua S. Agranat Vivian P. Douglas Konstantinos A. A. Douglas John B. Miller |
| author_facet | Joshua S. Agranat Vivian P. Douglas Konstantinos A. A. Douglas John B. Miller |
| author_sort | Joshua S. Agranat |
| collection | DOAJ |
| description | Abstract Background Visualization during scleral buckling is traditionally achieved via indirect ophthalmoscopy. Recent advances have utilized the surgical microscope and a 25 gauge cannula-based endoillumination system, also known as a Chandelier lighting system. This report details an improved approach using a guarded 25 or 27 gauge light pipe and the Ngenuity digital three dimensional platform. Methods A standard Alcon light pipe is modified with a silicone guard to expose only 5 mm of the tip of the light pipe. The guard is created from the silicone that is already opened to secure the ends of the encircling band most often employed sleeve (e.g. 70, 270). This guarded light pipe is then inserted into the cannula as an alternative to a Chandelier lighting system. Results This is a technical report of a surgical visualization technique using a three dimensional digital visualization platform with a modified handheld vitrectomy light pipe. Conclusion The utilization of a guarded light pipe for visualization during primary scleral buckling is a promising, effective, and efficient technique. The three dimensional digital display allows for better educational impact and surgical communication with trainees and ancillary members of the surgical team. |
| first_indexed | 2024-12-13T11:34:11Z |
| format | Article |
| id | doaj.art-beca6f00f0e74fc98f9f31c2ca6aa19c |
| institution | Directory Open Access Journal |
| issn | 2056-9920 |
| language | English |
| last_indexed | 2024-12-13T11:34:11Z |
| publishDate | 2020-09-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Retina and Vitreous |
| spelling | doaj.art-beca6f00f0e74fc98f9f31c2ca6aa19c2022-12-21T23:47:51ZengBMCInternational Journal of Retina and Vitreous2056-99202020-09-01611410.1186/s40942-020-00246-9A guarded light pipe for direct visualization during primary scleral buckling on the Ngenuity platformJoshua S. Agranat0Vivian P. Douglas1Konstantinos A. A. Douglas2John B. Miller3Retina Service, Massachusetts Eye and Ear, Department of Ophthalmology, Harvard Medical SchoolRetina Service, Massachusetts Eye and Ear, Department of Ophthalmology, Harvard Medical SchoolRetina Service, Massachusetts Eye and Ear, Department of Ophthalmology, Harvard Medical SchoolRetina Service, Massachusetts Eye and Ear, Department of Ophthalmology, Harvard Medical SchoolAbstract Background Visualization during scleral buckling is traditionally achieved via indirect ophthalmoscopy. Recent advances have utilized the surgical microscope and a 25 gauge cannula-based endoillumination system, also known as a Chandelier lighting system. This report details an improved approach using a guarded 25 or 27 gauge light pipe and the Ngenuity digital three dimensional platform. Methods A standard Alcon light pipe is modified with a silicone guard to expose only 5 mm of the tip of the light pipe. The guard is created from the silicone that is already opened to secure the ends of the encircling band most often employed sleeve (e.g. 70, 270). This guarded light pipe is then inserted into the cannula as an alternative to a Chandelier lighting system. Results This is a technical report of a surgical visualization technique using a three dimensional digital visualization platform with a modified handheld vitrectomy light pipe. Conclusion The utilization of a guarded light pipe for visualization during primary scleral buckling is a promising, effective, and efficient technique. The three dimensional digital display allows for better educational impact and surgical communication with trainees and ancillary members of the surgical team.http://link.springer.com/article/10.1186/s40942-020-00246-9Scleral buckleIntraoperative visualizationThree-dimensional digital displayRetina |
| spellingShingle | Joshua S. Agranat Vivian P. Douglas Konstantinos A. A. Douglas John B. Miller A guarded light pipe for direct visualization during primary scleral buckling on the Ngenuity platform International Journal of Retina and Vitreous Scleral buckle Intraoperative visualization Three-dimensional digital display Retina |
| title | A guarded light pipe for direct visualization during primary scleral buckling on the Ngenuity platform |
| title_full | A guarded light pipe for direct visualization during primary scleral buckling on the Ngenuity platform |
| title_fullStr | A guarded light pipe for direct visualization during primary scleral buckling on the Ngenuity platform |
| title_full_unstemmed | A guarded light pipe for direct visualization during primary scleral buckling on the Ngenuity platform |
| title_short | A guarded light pipe for direct visualization during primary scleral buckling on the Ngenuity platform |
| title_sort | guarded light pipe for direct visualization during primary scleral buckling on the ngenuity platform |
| topic | Scleral buckle Intraoperative visualization Three-dimensional digital display Retina |
| url | http://link.springer.com/article/10.1186/s40942-020-00246-9 |
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