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Leopoldo Garduño, MD, Jorge Garduño, MD
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Jorge Garduño, MD, and Leopoldo Garduño, MD, present a diabetic patient with a cataract and vitreous hemorrhage. They begin the case by making sclerotomies with a 23G microblade and place trocars. They enter the eye with a self-sealing sclerocorneal tunnel and stain the anterior capsule. The cataract is chopped the Garduño Trisector and removed through the scleral tunnel without the need for ultrasound energy. Then, they use a reusable vitrectomy system to manage the vitreous hemorrhage.
Posted: 8/03/2012
Leopoldo Garduño, MD, Jorge Garduño, MD
Jorge Garduño, MD, and Leopoldo Garduño, MD, present a diabetic patient with a cataract and vitreous hemorrhage. They begin the case by making sclerotomies with a 23G microblade and place trocars. They enter the eye with a self-sealing sclerocorneal tunnel and stain the anterior capsule. The cataract is chopped the Garduño Trisector and removed through the scleral tunnel without the need for ultrasound energy. Then, they use a reusable vitrectomy system to manage the vitreous hemorrhage.
Posted: 8/03/2012
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M Z Raihani
5 years ago
why not phaco first & after that vr surgery?
SHALABH SINHA
13 years ago
Its advisable not to inject subconjunctival antibiotics near or at the sclerotomy. Preferable place is inferonasal. Its the hole in the conjunctiva that delivers the antibiotic over the eye. Putting it near or at the sclerotomy increases the chance of intraocular seapage of antibiotic and risk macular toxicity.
JORGE GARDUNO
13 years ago
DR. SHALABH THANKS FOR. YOUR COMMENT I WILL KEEP IT MIND IN OUR FUTURE VIDEO
neeraj pandey
13 years ago
dear sir, thanks for the reply. previously i used to do almost 90% of 23G and 10% of 25G vitrectomy. as 25G instruments are getting better and sturdy, now the ratio has become 60:40 for 23G:25G. even for 25G, if i combine cat with vit and the anterior wound is more than 2.8mm i prefer to close the wound with 1 suture at least. that does give a tight chamber comfort without risk of chamber collapse. and here, i am sure the wound is quite bigger in your case.
Jorge Garduño
13 years ago
DEAR, MR NPANDEY, IF YOU DONT TRUST IN THE ARCHITECTURE OF YOUR TUNNEL, KEEP USING SUTURES. THIS IS THE ADVANTAGE OF THIS SURGERY, ONCES AGAIN THIS IS A SELF SEALING WOUND. AND REMEBER THIS IS A SCLERO CORNEAL INSITION, VALVE SHAPE. BUT IF YOU ARE AFRAID GO AHEAD KEEP USING SUTURES, IT'S NOTHIN WRONG ABOUT IT. IN OUR EXPERINCE, WE NEVER HAD CHAMBER COLLAPSE OR SIDEL.
neeraj pandey
13 years ago
few queries sir, 1.why suture was not put to the SICS wound? 2.if you have such a wide tunnel nucleus can be taken out even without division, so why a dissector? 3.if you have a wide tunnel, any particular reason for a foldable IOL and injector use?
Jorge Garduño
13 years ago
ANSWERS 1.- BECAUSEA IS A SEL SEALED INSITION, WE DON´T NEED IT. 2.BECAUSE THE TRISECTOR IS FOR ANY KIND OF CATARACTS, AN YOU DON NEED A WIDE TUNNEL, THIS IS THA ADVANTAGE AGASINTS THE PHACO. 3.-THE FOLDABLE IOL IS JUST FOR A SMALLER ESCLERO CORNEAL INSITION, BUT YOU ALASO CON USEA A PMM IOL. REMEMBER THIS IS A 23 G VITRECTOMY , THE CONJUNTIVA IS VERY IMPORTAN, SO THE LES WWE CUT IS BETTER THE RESULTS
ricardo rguez
13 years ago
excelente cirugia lo que demuestra una cirugia sin faco es una buena eleccion.
Jorge Garduño
13 years ago
IN THIS TECHNIQUE, WE ARE USING MICROBLADES. BUT INSTEAD OF THE MICROBLADES YOU CAN USE 22G NEEDLES, YOU CAN CHECK OUR OTHER VIDEO. VITRECTOMY WITH 22G NEEDLE, USING REUSABLE 23G SYSTEM
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