Program list

SYMPOSIUM: WEAPONS CHOICES
SECTION: Techniques and devices
Moderators: Jean-Marie Parel, Frank Koch
Sunday, September 14th, 2003 ; 14:00 - 16:00

T.S.V. 25 AND PVR
Guy L' Helgoual'ch, MD
Clinique Pasteur, Brest, France

One sentence objective: To test the T.S.V. 25 efficiency in P.V.R. surgical procedures.

Purpose: After18 months using T.S.V. 25 in partial vitrectomy procedures such as macular surgery, to answer the question: Is T.S.V. 25 a new disposable device in P.V.R. treatment?
Methods: After testing the efficiency of the different instruments and learning to operate with, it was undertaken to treat P.V.R. proliferations in combine procedures. A lot of parameters were listed during operating the retinal detachements.
Results: If the efficiency of T.S.V. 25 can't be argued in partial vitrectomy, the flexibility of the instruments is a real proplem when operating the P.V.R. complications of a retinal detachement. On the base of the vitreous, the place you absolutely need to access for the ablation of the proliferations, using the cutter, or the forceps, or the delaminator, may be untouchable.In the opposite, the ablation of épi or subretinal membranes, endodiathermy or endolaser, using or not silcone oil, are realy suited to 25 Gauge vitrectomy system.
Conclusion: 25 Gauge vitrectomy is a new device realy suited to reoperate P.V.R. complications in the treatment of retinal detachement. The efficiency of the instruments increases every months, and the traumatism of the procedures decrease every day...