Case Reports on Removal of Vitreous Cortex Remnants Using a Beveled Vitrectomy Probe in High Myopia: the Shovel and Lift Technique

다국어 초록 (Multilingual Abstract)

Purpose: To describe a shovel and lift technique using a beveled vitrectomy probe for removing vitreous cortex remnants in highly myopic eyes.
Case summary: Retrospective review of a single-center series of cases with high myopia operated with a beveled vitrectomy probe.
The shovel and lift technique with a 23-gauge beveled vitrectomy probe was used after visualizing vitreous cortex remnants on the retinal surface with triamcinolone. Once the margin of the vitreous defect was found, it was attached to the port of the beveled vitrectomy probe and lifted like a shovel gently using high vacuum mode.
Conclusions: The introduction of a beveled vitrectomy probe simplified the removal of vitreous cortex remnants in eyes with high myopia, which was previously extremely challenging.

참고문헌 (Reference)

1 van Overdam KA, "Vitreous wiping, a new technique for removal of vitreous cortex remnants during vitrectomy" 97 : e747-e752, 2019

2 van Overdam K, "Vitreoschisis-induced vitreous cortex remnants : missing link in proliferative vitreoretinopathy" 98 : e261-e262, 2020

3 Sebag J, "Vitreoschisis" 246 : 329-332, 2008

4 de Oliveira PR, "Vitreoretinal instruments:vitrectomy cutters, endoillumination and wide-angle viewing systems" 2 : 28-, 2016

5 Coppola M, "Vitrectomy in high myopia : a narrative review" 3 : 37-, 2017

6 Sartini F, "Surgical technique for removing vitreous cortex remnants using a diamond-dusted membrane scraper" 100 : 344-347, 2022

7 González-Saldivar Gerardo, "Shovel and Cut Technique: Beveled Vitrectomy Probes to Address Diabetic Tractional Retinal Detachments" Ovid Technologies (Wolters Kluwer Health) 43 (43): 1207-1208, 2023

8 Dugas B, "Primary vitrectomy for the treatment of retinal detachment in highly myopic eyes with axial length over 30 mm" 23 : 564-570, 2013

9 Inoue M, "Flow dynamics of beveled-tip and flat-tip vitreous cutters" 41 : 445-453, 2021

10 Ripandelli G, "Encircling scleral buckling with inferior indentation for recurrent retinal detachment in highly myopic eyes" 35 : 416-422, 2015

11 Berrocal MH, "All-probe vitrectomy dissection techniques for diabetic tractional retinal detachments : lift and shave" 38 (38): S2-S4, 2018

12 Tang WY, "A simple new technique for the induction of residual posterior vitreous cortex removal and membrane peeling" 14 : 622-625, 2021