Ultrasonic fragmentation for removing thick organized clots during diabetic vitrectomy – A novel technique

A 65-year-old male with proliferative diabetic retinopathy (PDR) and non-clearing vitreous hemorrhage underwent 25G pars plana vitrectomy (PPV). A large disk of thick organized blood of 5 disk diameter (DD) size was encountered in subhyaloid space. All attempts including lower cut rates to remove th...

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Autores principales: Singh, Deependra V, Reddy, Raja R, Upadhyay, Awaneesh, Sharma, Yog R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Surgical Technique
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359220/
https://www.ncbi.nlm.nih.gov/pubmed/35648011
http://dx.doi.org/10.4103/ijo.IJO_3063_21
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author Singh, Deependra V
Reddy, Raja R
Upadhyay, Awaneesh
Sharma, Yog R
author_facet Singh, Deependra V
Reddy, Raja R
Upadhyay, Awaneesh
Sharma, Yog R
author_sort Singh, Deependra V
collection PubMed
description A 65-year-old male with proliferative diabetic retinopathy (PDR) and non-clearing vitreous hemorrhage underwent 25G pars plana vitrectomy (PPV). A large disk of thick organized blood of 5 disk diameter (DD) size was encountered in subhyaloid space. All attempts including lower cut rates to remove this disk using a 25G cutter turned futile. We used a 20G fragmatome to safely remove this hard clot from vitreous cavity in 50 s. Surgical time for removal of similar clot of 3 DD by 25G cutter in another eye was 5 min. Removal of thick clotted subhyaloid blood by ultrasonic fragmentation during diabetic vitrectomy is a safe, faster, and useful maneuver.
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spelling pubmed-93592202022-08-10 Ultrasonic fragmentation for removing thick organized clots during diabetic vitrectomy – A novel technique Singh, Deependra V Reddy, Raja R Upadhyay, Awaneesh Sharma, Yog R Indian J Ophthalmol Surgical Technique A 65-year-old male with proliferative diabetic retinopathy (PDR) and non-clearing vitreous hemorrhage underwent 25G pars plana vitrectomy (PPV). A large disk of thick organized blood of 5 disk diameter (DD) size was encountered in subhyaloid space. All attempts including lower cut rates to remove this disk using a 25G cutter turned futile. We used a 20G fragmatome to safely remove this hard clot from vitreous cavity in 50 s. Surgical time for removal of similar clot of 3 DD by 25G cutter in another eye was 5 min. Removal of thick clotted subhyaloid blood by ultrasonic fragmentation during diabetic vitrectomy is a safe, faster, and useful maneuver. Wolters Kluwer - Medknow 2022-06 2022-05-31 /pmc/articles/PMC9359220/ /pubmed/35648011 http://dx.doi.org/10.4103/ijo.IJO_3063_21 Text en Copyright: © 2022 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Surgical Technique
Singh, Deependra V
Reddy, Raja R
Upadhyay, Awaneesh
Sharma, Yog R
Ultrasonic fragmentation for removing thick organized clots during diabetic vitrectomy – A novel technique
title Ultrasonic fragmentation for removing thick organized clots during diabetic vitrectomy – A novel technique
title_full Ultrasonic fragmentation for removing thick organized clots during diabetic vitrectomy – A novel technique
title_fullStr Ultrasonic fragmentation for removing thick organized clots during diabetic vitrectomy – A novel technique
title_full_unstemmed Ultrasonic fragmentation for removing thick organized clots during diabetic vitrectomy – A novel technique
title_short Ultrasonic fragmentation for removing thick organized clots during diabetic vitrectomy – A novel technique
title_sort ultrasonic fragmentation for removing thick organized clots during diabetic vitrectomy – a novel technique
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359220/
https://www.ncbi.nlm.nih.gov/pubmed/35648011
http://dx.doi.org/10.4103/ijo.IJO_3063_21
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