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H. Quiroz-Mercado, M. A. Martinez-Castellanos, O. Ustariz-Gonzalez, G. Alvarez- Rivera, I. Yeshurun, J. Fromow-Guerra; The Use of 3D System Maximizes the Advantages of the Perfluorocarbon Perfused Vitrectomy (PCPV). Invest. Ophthalmol. Vis. Sci. 2007;48(13):2233.
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To describe the benefits of performing PCPV using Accurus 3D vitrectomy system.
Prospective, consecutive clinical series. We included patients with retinal tractional detachment secondary to severe proliferative diabetic retinopathy. We performed the PCPV surgical technique using the Accurus Surgical System (Alcon Laboratories) fourth generation software (XS4) Dual Dynamic Drive (3D). All surgeries were performed by the same surgeon. The following parameters were recorded during surgery: intraoperative bleeding, visualization quality, easiness of membranes removal, speed of retina reapplication, and the amount of perfluorocarbon liquid (PCL) used. Postoperative evolution was documented.
Twelve patients were operated. The mean surgical time was one hour ±30 min. The mean amount of perfluorocarbon used was 45cc ± 2.5cc. Bleeding did not prevent visualization or surgical maneuvers performance. Eighty percent of membranes could be removed using the vitrectomy probe only. Retinal reattachment was achieved early in the course of the surgery in all cases. Eighty seven percent of operated eyes had more than 90% of retinal area attached three months after surgery.
The use of 3D system with PCPV, facilitated vitreous removal, reduced the amount of PCL needed, induced a rapid retinal reattachment, facilitated inraoperative visualization and maneuvering and effectively stabilized the retina during vitrectomy and membranectomy.
www.clinicaltrials.gov APEC 005
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