Artikel
“Pole to Pole” surgery in trauma case with min invasive systems and dancer philosophy
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Autoren
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Cesare Forlini
- Ravenna/Italy
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P. Rossini
- Ravenna/Italy
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A. Aversano
- Ravenna/Italy
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M. Forlini
- Modena/Italy
| Veröffentlicht: | 18. Juni 2008 |
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Gliederung
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Purpose: To evalute and present the surgical strategy of “pole to pole” reconstruction in trauma cases.
Methods: We present several examples of corneal leucoma, IOL implant, iris damages and vitreoretinal diseases in previous trauma cases treated with a “pole to pole” surgical reconstruction. In these cases a combined 25 gauge anterior infusion, a temporary keratoprosthesis, and 23 gauge pars plana vitrectomy iris surgery and IOL implant are used.
Results: An high percent of these cases are treated to obtain an anatomical recovery, while the functional will be very poor. Using mini-invasive 25/23 gauge systems help to move into the closed spaces of traumatized eyes, to reduce the post-operative inflammation and to obtain a quicker recovery.
Conclusions: In case of eye injuries where it is necessary to develop a global strategy, according to a strategically planned approach, it is important that the surgeon is able to manage the entire procedure according to a bidirectional and not monodirectional model, that is “dancing” inside the eye, moving from the anterior to the posterior segment. The mini-invasive surgery helps the surgeron in this field as much as possible the case to treat is severe.
