Name: a novel technique of rescuing capsulorhexis radial tear-out using a cystotome
Uploaded: 2011-01-16T16:10:00
Description: Watch this Scientific Journal Video about A Novel Technique of Rescuing Capsulorhexis Radial Tear-out using a Cystotome at JoVE.com

<p class="jove_content">我们要感谢从VR魔术瓦伊勒阿布萨尔瓦多博士Gendy，视频剪辑，克莱门斯瓦格纳博士为他的道义上的支持。作者个人的资金。 </p>

<p class="jove_title"> 1。目的</p><p class="jove_content">为了证明一个囊救援技术的径向撕裂，使用一个虚拟现实的白内障手术模拟器和人眼的一个cystotome。 </p><p class="jove_title"> 2。方法</p><p class="jove_content">当囊，开始转向对超越瞳孔缘周围呈放射状以下步骤应毫不拖延地应用。 </p><ol><li>停止进一步囊机动和重新评估有关情况。 </li><li>填充的眼科viscosurgical设备（OVD）前房。我们建议安装cystotome注射器含有OVD使前房可以reinfl...

<ol>
	<li>Little, B. C., Smith, J. H., Packer, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=.">.</a> <em style='font-style: italic'>J Cataract Refract Surg</em>. <b>32</b> (9), 1420-1422 (2006).</li><li>Neuhann, T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Theorie+und+Operationstechnik+der+Kapsulorhexis.">Theorie und Operationstechnik der Kapsulorhexis.</a> <em style='font-style: italic'>Klin Monatsbl Augenheilkd</em>. <b>190</b>, 542-545 (1987).</li><li>Gimbel, H. V., Neuhann, T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Development,+advantages+and+methods+of+the+continuous+circular+capsulorhexis+technique.">Development, advantages and methods of the continuous circular capsulorhexis technique.</a> <em style='font-style: italic'>J Cataract Refract Surg</em>. <b>16</b>, 31-37 (1990).</li><li>Gimbel, H. V., Neuhann, T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Continuous+curvilinear+capsulorhexis.+(letter).">Continuous curvilinear capsulorhexis. (letter).</a> <em style='font-style: italic'>J Cataract Refract Sur</em>. <b>17</b>, 110-111 (1991).</li><li>Gimbel, H. V. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Evolving+techniques+of+cataract+surgery:+continuous+curvilinear+capsulorhexis,+down-slope+sculpting,+and+nucleofractis.">Evolving techniques of cataract surgery: continuous curvilinear capsulorhexis, down-slope sculpting, and nucleofractis.</a> <em style='font-style: italic'>Semin Ophthalmol</em>. <b>7</b>, 193-207 (1992).</li></ol>

<p class="jove_content"> EYESI手术模拟器是一个现实的外科医生的培训平台，实践的复杂囊撕裂技术。撕囊的超声乳化和endocapsular人工晶状体植入手术是最重要和最复杂的部分。一个白内障手术的成功取决于实现一个很好的囊。在囊中，外科医生可能会面对一个具有挑战性的情况像一个囊径向撕裂。一位外科医生必须学会及时解决的问题，使情况变得更糟。已被描述的抢救情况的一些其他方法，使用囊钳。然而，我们相?...

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a novel technique of rescuing capsulorhexis radial tear-out using a cystotome

<p class="jove_content">第1部分：目的：为了证明一个囊救援技术的径向撕裂，使用一个虚拟现实的白内障手术模拟器和人眼的一个cystotome。第2部分：方法：步骤：当一个囊，开始转向对超越瞳孔缘周围呈放射状以下步骤应毫不拖延地应用。 2.1）停止进一步的囊回旋，重新评估有关情况。 2.2）填写眼科viscosurgical装置（OVD）前房。我们建议安装cystotome注射器含有OVD使前房可以reinflated迅速。 2.3），然后离开囊瓣展现在镜头表面。 2.4）cystotome提示是倾斜的水平，以避免切割或穿刺瓣和从事皮瓣撕裂的前沿附近，但不要太靠近点撕裂。 2.5），轻轻推或拉撕裂对面的领先优势，撕裂方向。 2.6）领先的撕裂边缘会开始做一个“掉头”。保持直到撕裂的边缘返回所需的轨迹上皮瓣紧张。第3部分：结果：使用我们的技术，医生可以立即响应径向撕裂了，而无需改变手术器械。改变在这一关键阶段的手术​​器械的运行风险进一步径向撕裂由于玻璃体向前的压力突然前房变浅。我们的技术也有减少角膜伤口失真和随后的前房塌陷的优势。第4部分：讨论EYESI手术模拟器是一个现实的外科医生的培训平台，实践的复杂囊撕裂技术。撕囊的超声乳化和endocapsular人工晶状体植入手术是最重要和最复杂的部分。一个白内障手术的成功取决于实现一个很好的囊。在囊中，外科医生可能会面对一个具有挑战性的情况像一个囊径向撕裂。一位外科医生必须学会及时解决的问题，使情况变得更糟。已被描述的抢救情况的一些其他方法，使用囊钳。然而，我们相信我们的方法更快，更有效和更容易操纵EYESi手术模拟器和人眼的证明。鸣谢：名单确认和资金来源。我们要感谢瓦伊勒阿布萨尔瓦多博士Gendy，视频剪辑。披露：描述我们什么都没有披露的潜在的利益冲突或状态。参考文献：1。布赖恩C.小，珍妮弗史密斯，马克派克。中华眼科杂志2006; 32:1420 1422，发行9。 2。 Neuhann T. Theorie和Operationstechnik DER Kapsulorhexis。克林Monatsbl Augenheilkd。 1987年，1990：542-545。 3。金贝尔高压，Neuhann T.发展，连续环形撕囊技术的优势和方法。国际眼科杂志。 1990年，16：31-37。 4。金贝尔高压，Neuhann T.连续环形撕囊。 （函）眼科苏尔。 1991年，17：110-111。 </p>

Watch this Scientific Journal Video about A Novel Technique of Rescuing Capsulorhexis Radial Tear-out using a Cystotome at JoVE.com

A Novel Technique of Rescuing Capsulorhexis Radial Tear-out using a Cystotome

<p class="jove_content">撕囊是超声乳化手术中的重要一步。一位外科医生创建一个控制撕裂载体部队的晶状体前囊膜连续环形撕撕。一个外围扩展的撕裂是一种严重的并发症。本视频演示了新技术的使用cystotome抢救出囊径向撕裂。</p>

径向的抢救囊撕式的新技术，使用一个Cystotome

Part 1 : Purpose:   To demonstrate a capsulorhexis radial tear out rescue technique using a cystotome on a virtual reality cataract surgery simulator and ...

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A Novel Capsulorhexis Technique Using Shearing Forces with Cystotome

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