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KMID : 1151620180030020071
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Journal of Retina
2018 Volume.3 No. 2 p.71 ~ p.75
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Development of a New Scleral Depressor for Determining the Location of a Buckle during Scleral Buckling Surgery
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Kwak Ji-Yoon
Kim Yun-Taek
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Abstract
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Purpose: To develop and characterize a new scleral depressor that can more accurately determine the location of a scleral buckle.
Methods: A light source was added to the center of the compression area of a sickle-shaped depressor, which was then used in scleral buckling surgeries. After examining the inner side of the eyeball with an indirect ophthalmoscope, the center of the compressed region was verified using transillumination. Based on the location of the retinal break, the surgeon implanted the buckle at the compressed region. Six patients were treated with the new depressor.
Results: During surgery, the new depressor accurately located the position of the retinal break on the scleral side. In the first patient, the center of the break was located at the top of the buckle because the posterior border of the break was not sufficiently protruded; therefore, intravitreal gas injection was performed after surgery. In the five remaining patients, the center of the buckle was located at the posterior border of the break. The retinas were well-flattened in all patients.
Conclusions: The new depressor accurately identified the position of retinal break on the scleral side.
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KEYWORD
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Retina, Retinal break, Rhegmatogenous retinal detachment, Scleral buckling, Vitreoretinal surgery
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