Shovel and cut technique safe surgical approach for managing diabetic tractional retinal detachments
The management of diabetic tractional retinal detachments has long been a complex surgical challenge for ophthalmologists.A recent study published in The Journal Of Retinal And Vitreous Diseases by Gerardo González-Saldivar and colleague has introduced an innovative surgical technique that harnesses the structural advantages of beveled tip cutters to enhance the removal of difficult diabetic membranes. The shovel and cut technique, utilizing beveled tip cutters, promises safer and more controlled tissue dissection, potentially transforming the way these retinal detachments are treated.
Beveled tip cutters were first introduced in 1972 as one of the few modifications to vitrectomy probes since their inception. The shovel and cut technique capitalises on this ingenious modification to access tighter planes and effectively remove broad diabetic membranes. During the procedure, any gauge probe equipped with a beveled tip is used. The surgeon maneuvers the cutter's beveled tip in a shovel-like manner to create a tissue plane between the diabetic plaque and the retina. By moving the beveled tip parallel to the underlying retina, scar tissue naturally feeds into the cutting port, where it is efficiently cut and aspirated at low flow rates.
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