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Article . 2020 . Peer-reviewed
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Article . 2020
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ULTRASOUND IN VITRECTOMY

An Alternative Approach to Traditional Vitrectomy Techniques
Authors: Stanislao Rizzo; FANTONI, GUALTIERO; Dario Pasquale Mucciolo; GIORNI, ANDREA; Lorenzo Volpi; Michele Pierallini; Andrea Mazzoni; +1 Authors

ULTRASOUND IN VITRECTOMY

Abstract

Purpose: To study a prototype of an ultrasound-based vitrector, and to try to understand the physical phenomena underlying this new technology. Methods: We tested the ultrasound-based vitrector prototype (UV) (ultrasonically-driven handpiece obtained from a modified version of the Alcon CONSTELLATION Vision System [Alcon]) using an automatic experimental setup. Balanced saline solution (BSS) and vitreous (from fresh postmortem enucleated porcine eyes) flow rates were analyzed using three different tips. Results: In general, BSS solution flow rates increased with increasing aspiration levels and decreased when we used % US power. Vitreous flow rates were influenced by aspiration levels, % US power, and ultrasound-related phenomena: cavitation phenomenon and “jet streaming.” Conclusion: Ultrasound-based vitrectomy may represent an important alternative to traditional vitrectomy. Such a tool, capable of liquefying and excising the vitreous body using ultrasound, could overcome all the limits of the guillotine-based technique (GV). Knowledge of the physical phenomena underlying ultrasound-based technology is a necessary prerequisite for further development of this new technology.

Keywords

Minerals, ultrasound, vitrectomy, retina, vitreous, surgery, Swine, Vitreous cutter, Acetates, Sodium Chloride, Flow rate, Vitreous Body, Drug Combinations, Ultrasonic Surgical Procedures, Vitrectomy, Ultrasound, Models, Animal, Animals

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Average
Average
Average
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