July 2018
Volume 59, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2018
Intra-ocular diathermy forceps: first study in human subjects
Author Affiliations & Notes
  • Koen A. van Overdam
    Department of Vitreoretinal Surgery, The Rotterdam Eye Hospital, Rotterdam, Netherlands
    The Rotterdam Ophthalmic Institute, Rotterdam, Netherlands
  • Jerrel Pawiroredjo
    Suriname Eye Centre, Academic Hospital Paramaribo, Paramaribo, Suriname
  • Dinesh Jiawan
    Suriname Eye Centre, Academic Hospital Paramaribo, Paramaribo, Suriname
  • Sonia Manning
    Department of Ophthalmology, University Hospital Waterford, Waterford, Ireland
  • Footnotes
    Commercial Relationships   Koen van Overdam, PCT/EP2016/081245 (P); Jerrel Pawiroredjo, None; Dinesh Jiawan, None; Sonia Manning, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science July 2018, Vol.59, 5917. doi:
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    • Get Citation

      Koen A. van Overdam, Jerrel Pawiroredjo, Dinesh Jiawan, Sonia Manning; Intra-ocular diathermy forceps: first study in human subjects. Invest. Ophthalmol. Vis. Sci. 2018;59(9):5917.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To examine safety, effectiveness and ease of use of a novel instrument, the intra-ocular diathermy forceps, during vitrectomy for diabetic tractional retinal detachment.

Methods : Prospective single-centre case series of 5 patients (5 eyes) with diabetic tractional retinal detachments, treated by vitrectomy with use of intra-ocular diathermy forceps.

Results : The intra-ocular diathermy forceps demonstrated their dual function: peeling and coagulation. They were used as end-gripping forceps for delamination of fibrovascular membranes and as diathermy for coagulation of bleeding points, fibrovascular membranes before segmentation and borders of retinal breaks. Coagulation was continuously available inside the eye, without the need to exchange instruments. There were no instances of haemorrhage that could not be controlled with the diathermy forceps. Closure of blood vessels, by compression between the forceps jaws, coagulated them effectively. Coagulation was also successful without complete jaw closure, which prevented tissue sticking to the forceps and allowed better visualization between the forceps jaws and control of coagulation. There were no cases of postoperative vitreous cavity haemorrhage during 4 weeks’ follow-up.

Conclusions : In this first study in human subjects, the intra-ocular diathermy forceps demonstrated its dual function, safety, effectiveness and ease of use, in vitrectomy for diabetic tractional retinal detachment.

This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.

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