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Nikoloz Labauri MD
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In this pseudophakic retinal detachment case Nikoloz Labauri, MD, demonstrates a new sutureless technique of segmental buckling referred as the "Shoelace" procedure. The buckle is placed inferiorly and combined with 23G vitrectomy. Dual blue dye is used to stain and peel the ILM to prevent from postoperative macular pucker formation. Conventional silicone oil is used for tamponade.
Posted: 10/11/2012
Nikoloz Labauri MD
In this pseudophakic retinal detachment case Nikoloz Labauri, MD, demonstrates a new sutureless technique of segmental buckling referred as the "Shoelace" procedure. The buckle is placed inferiorly and combined with 23G vitrectomy. Dual blue dye is used to stain and peel the ILM to prevent from postoperative macular pucker formation. Conventional silicone oil is used for tamponade.
Posted: 10/11/2012
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Craig Goldsmith
12 years ago
very unecessary steps, leading to lots of trauma for no reason. Vity-gas should have sufficed.
Craig Goldsmith
12 years ago
very unecessary steps, leading to lots of trauma for no reason. Vity-gas should have sufficed.
Craig Goldsmith
12 years ago
very unecessary steps, leading to lots of trauma for no reason. Vity-gas should have sufficed.
Nikoloz Labauri
12 years ago
Thanking you for comment. Unfortunately I wouldn’t agree with you regarding only Vit/Gas. The Gas doesn’t tamponade inferior breaks, and also it causes more inflammation than SiO. Thereby, with standalone PPV and Gas you would have higher risk of Redetachment and PVR and also pucker. We still have some cases where additional buckle is required and I think many surgeons share this opinion worldwide. Thanking you once again.
Nikoloz Labauri
12 years ago
Dear. Dr, Waterhouse Thank you for comment and interest in this new technique. I use this technique since 2008 and so far performed more than 300 cases. In this video may not be shown all the details how to perform this buckle, but now my residents are working on the animated movie and another video where this technique will be shown more clearly. Will be published soon. Thanks again. Nikoloz
William Waterhouse
12 years ago
That's a creative buckling technique for providing an inferior circumferential indent and avoiding 360 encircling. I look forward to trying it! Dr Will Waterhouse
Nikoloz Labauri
12 years ago
Thank you for comment and questions Dr. Shalabh. Let me clarify some points regarding this surgery. As you know this video is edited and there is not shown 2 more breaks inferiorly. I usually use this type of buckle in cases where I have inferior break(s) or PVR without retinotomy. This patient was recruited in trial where I peel ILM in NonPVR and compare to ILM peel in PVR group. This study will be over in 6 months and the results will show us wheather is worthy or not to peel routinely in NonPVR detachments. But my early impression is - Not to peel. Not necessary. Thanking you Nikoloz
Nikoloz Labauri
12 years ago
Thank you for comment and questions Dr. Shalabh. Let me clarify some points regarding this surgery. As you know this video is edited and there is not shown 2 more breaks inferiorly. I usually use this type of buckle in cases where I have inferior break(s) or PVR without retinotomy. This patient was recruited in trial where I peel ILM in NonPVR and compare to ILM peel in PVR group. This study will be finished in 6 months and the results will show us weather is worthy or not to peel the ILM routinely in NonPVR detachments. But my early impression is - Not to peel. Not necessary. Thanking you once again. Nikoloz
SHALABH SINHA
12 years ago
Hi Nikoloz, I did not see the reason for putting the band inferiorly. Pseudophakos allows scleral depression and base excision. And the break was temporal. ILM peeling in all cases of RD do you do? 360 laser also in all cases? PVR should be present for doing that much more.
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