Loading…
Intraoperative breakage of a 25-gauge vitreous cutter
To report breakage of a 25-gauge vitreous cutter during vitreous surgery. Interventional case report. A 60-year-old woman was referred for management of an epiretinal membrane at the macula. Visual acuity was 20/100 in the affected left eye. Vitreous surgery using a 25-gauge vitrectomy system was ca...
Saved in:
| Published in: | American journal of ophthalmology 2004-11, Vol.138 (5), p.867-869 |
|---|---|
| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c436t-e9202f0bec3e56810af2e49932a6571c3ec7a907c8f85524cdfb6740ec0e49603 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c436t-e9202f0bec3e56810af2e49932a6571c3ec7a907c8f85524cdfb6740ec0e49603 |
| container_end_page | 869 |
| container_issue | 5 |
| container_start_page | 867 |
| container_title | American journal of ophthalmology |
| container_volume | 138 |
| creator | Inoue, Makoto Noda, Kousuke Ishida, Susumu Nagai, Norihiro Imamura, Yutaka Oguchi, Yoshihisa |
| description | To report breakage of a 25-gauge vitreous cutter during vitreous surgery.
Interventional case report.
A 60-year-old woman was referred for management of an epiretinal membrane at the macula. Visual acuity was 20/100 in the affected left eye. Vitreous surgery using a 25-gauge vitrectomy system was carried out with a combination of conventional cataract surgery.
The vitreous cutter was lodged within the sclerotomy cannula after peripheral vitrectomy and was pulled together with the cannula. The cannula was reinserted by trocar, but as the floating peeled epiretinal membrane was dissected with the vitreous cutter, the tip of the cutter was broken and was aspirated with the membrane. Stereoscopic microscopy and scanning electron microscopy demonstrated that the edge that had broken at the cutter port was smooth.
Although 25-gauge instruments remain useful, care should be taken against rare surgical complications related to their fragility. |
| doi_str_mv | 10.1016/j.ajo.2004.05.035 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67051999</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002939404005549</els_id><sourcerecordid>3556272161</sourcerecordid><originalsourceid>FETCH-LOGICAL-c436t-e9202f0bec3e56810af2e49932a6571c3ec7a907c8f85524cdfb6740ec0e49603</originalsourceid><addsrcrecordid>eNp9kE1LxDAQhoMo7rr6A7xIQfTWOkmTNMGTiF8geNFzSLNTSd1t16Rd8N-bZRcWPHgaZnjm5eUh5JxCQYHKm7awbV8wAF6AKKAUB2RKVaVzqjQ9JFMAYLkuNZ-QkxjbtMqKV8dkQoUoacnUlIiXbgi2X2Gwg19jVge0X_YTs77JbMZE_mnHtK39ELAfY-bGYcBwSo4au4h4tpsz8vH48H7_nL--Pb3c373mjpdyyFEzYA3U6EoUUlGwDUOudcmsFBVNV1dZDZVTjRKCcTdv6tQQ0EHCJJQzcr3NXYX-e8Q4mKWPDhcL223aGFmBoDoFzsjlH7Dtx9ClboZKzpUSrJKJolvKhT7GgI1ZBb-04cdQMBujpjXJqNkYNSBMMpp-LnbJY73E-f5jpzABVzvARmcXTbCd83HPSaao4jRxt1sOk7C1x2Ci89g5nPuAbjDz3v9T4xf0_JDW</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1644885276</pqid></control><display><type>article</type><title>Intraoperative breakage of a 25-gauge vitreous cutter</title><source>Elsevier</source><creator>Inoue, Makoto ; Noda, Kousuke ; Ishida, Susumu ; Nagai, Norihiro ; Imamura, Yutaka ; Oguchi, Yoshihisa</creator><creatorcontrib>Inoue, Makoto ; Noda, Kousuke ; Ishida, Susumu ; Nagai, Norihiro ; Imamura, Yutaka ; Oguchi, Yoshihisa</creatorcontrib><description>To report breakage of a 25-gauge vitreous cutter during vitreous surgery.
Interventional case report.
A 60-year-old woman was referred for management of an epiretinal membrane at the macula. Visual acuity was 20/100 in the affected left eye. Vitreous surgery using a 25-gauge vitrectomy system was carried out with a combination of conventional cataract surgery.
The vitreous cutter was lodged within the sclerotomy cannula after peripheral vitrectomy and was pulled together with the cannula. The cannula was reinserted by trocar, but as the floating peeled epiretinal membrane was dissected with the vitreous cutter, the tip of the cutter was broken and was aspirated with the membrane. Stereoscopic microscopy and scanning electron microscopy demonstrated that the edge that had broken at the cutter port was smooth.
Although 25-gauge instruments remain useful, care should be taken against rare surgical complications related to their fragility.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/j.ajo.2004.05.035</identifier><identifier>PMID: 15531328</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Cataracts ; Catheterization ; Epiretinal Membrane - surgery ; Equipment Failure ; Equipment Failure Analysis ; Eye surgery ; Female ; Humans ; Intraoperative Complications ; Medical sciences ; Microscopy ; Microscopy, Electron, Scanning ; Middle Aged ; Ophthalmoscopy ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the eye and orbit ; Vitrectomy - instrumentation</subject><ispartof>American journal of ophthalmology, 2004-11, Vol.138 (5), p.867-869</ispartof><rights>2004 Elsevier Inc.</rights><rights>2005 INIST-CNRS</rights><rights>Copyright Elsevier Limited Nov 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-e9202f0bec3e56810af2e49932a6571c3ec7a907c8f85524cdfb6740ec0e49603</citedby><cites>FETCH-LOGICAL-c436t-e9202f0bec3e56810af2e49932a6571c3ec7a907c8f85524cdfb6740ec0e49603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16281841$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15531328$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Inoue, Makoto</creatorcontrib><creatorcontrib>Noda, Kousuke</creatorcontrib><creatorcontrib>Ishida, Susumu</creatorcontrib><creatorcontrib>Nagai, Norihiro</creatorcontrib><creatorcontrib>Imamura, Yutaka</creatorcontrib><creatorcontrib>Oguchi, Yoshihisa</creatorcontrib><title>Intraoperative breakage of a 25-gauge vitreous cutter</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><description>To report breakage of a 25-gauge vitreous cutter during vitreous surgery.
Interventional case report.
A 60-year-old woman was referred for management of an epiretinal membrane at the macula. Visual acuity was 20/100 in the affected left eye. Vitreous surgery using a 25-gauge vitrectomy system was carried out with a combination of conventional cataract surgery.
The vitreous cutter was lodged within the sclerotomy cannula after peripheral vitrectomy and was pulled together with the cannula. The cannula was reinserted by trocar, but as the floating peeled epiretinal membrane was dissected with the vitreous cutter, the tip of the cutter was broken and was aspirated with the membrane. Stereoscopic microscopy and scanning electron microscopy demonstrated that the edge that had broken at the cutter port was smooth.
Although 25-gauge instruments remain useful, care should be taken against rare surgical complications related to their fragility.</description><subject>Biological and medical sciences</subject><subject>Cataracts</subject><subject>Catheterization</subject><subject>Epiretinal Membrane - surgery</subject><subject>Equipment Failure</subject><subject>Equipment Failure Analysis</subject><subject>Eye surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Intraoperative Complications</subject><subject>Medical sciences</subject><subject>Microscopy</subject><subject>Microscopy, Electron, Scanning</subject><subject>Middle Aged</subject><subject>Ophthalmoscopy</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Vitrectomy - instrumentation</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LxDAQhoMo7rr6A7xIQfTWOkmTNMGTiF8geNFzSLNTSd1t16Rd8N-bZRcWPHgaZnjm5eUh5JxCQYHKm7awbV8wAF6AKKAUB2RKVaVzqjQ9JFMAYLkuNZ-QkxjbtMqKV8dkQoUoacnUlIiXbgi2X2Gwg19jVge0X_YTs77JbMZE_mnHtK39ELAfY-bGYcBwSo4au4h4tpsz8vH48H7_nL--Pb3c373mjpdyyFEzYA3U6EoUUlGwDUOudcmsFBVNV1dZDZVTjRKCcTdv6tQQ0EHCJJQzcr3NXYX-e8Q4mKWPDhcL223aGFmBoDoFzsjlH7Dtx9ClboZKzpUSrJKJolvKhT7GgI1ZBb-04cdQMBujpjXJqNkYNSBMMpp-LnbJY73E-f5jpzABVzvARmcXTbCd83HPSaao4jRxt1sOk7C1x2Ci89g5nPuAbjDz3v9T4xf0_JDW</recordid><startdate>20041101</startdate><enddate>20041101</enddate><creator>Inoue, Makoto</creator><creator>Noda, Kousuke</creator><creator>Ishida, Susumu</creator><creator>Nagai, Norihiro</creator><creator>Imamura, Yutaka</creator><creator>Oguchi, Yoshihisa</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20041101</creationdate><title>Intraoperative breakage of a 25-gauge vitreous cutter</title><author>Inoue, Makoto ; Noda, Kousuke ; Ishida, Susumu ; Nagai, Norihiro ; Imamura, Yutaka ; Oguchi, Yoshihisa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-e9202f0bec3e56810af2e49932a6571c3ec7a907c8f85524cdfb6740ec0e49603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Biological and medical sciences</topic><topic>Cataracts</topic><topic>Catheterization</topic><topic>Epiretinal Membrane - surgery</topic><topic>Equipment Failure</topic><topic>Equipment Failure Analysis</topic><topic>Eye surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Intraoperative Complications</topic><topic>Medical sciences</topic><topic>Microscopy</topic><topic>Microscopy, Electron, Scanning</topic><topic>Middle Aged</topic><topic>Ophthalmoscopy</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Vitrectomy - instrumentation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Inoue, Makoto</creatorcontrib><creatorcontrib>Noda, Kousuke</creatorcontrib><creatorcontrib>Ishida, Susumu</creatorcontrib><creatorcontrib>Nagai, Norihiro</creatorcontrib><creatorcontrib>Imamura, Yutaka</creatorcontrib><creatorcontrib>Oguchi, Yoshihisa</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Inoue, Makoto</au><au>Noda, Kousuke</au><au>Ishida, Susumu</au><au>Nagai, Norihiro</au><au>Imamura, Yutaka</au><au>Oguchi, Yoshihisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative breakage of a 25-gauge vitreous cutter</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>2004-11-01</date><risdate>2004</risdate><volume>138</volume><issue>5</issue><spage>867</spage><epage>869</epage><pages>867-869</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>To report breakage of a 25-gauge vitreous cutter during vitreous surgery.
Interventional case report.
A 60-year-old woman was referred for management of an epiretinal membrane at the macula. Visual acuity was 20/100 in the affected left eye. Vitreous surgery using a 25-gauge vitrectomy system was carried out with a combination of conventional cataract surgery.
The vitreous cutter was lodged within the sclerotomy cannula after peripheral vitrectomy and was pulled together with the cannula. The cannula was reinserted by trocar, but as the floating peeled epiretinal membrane was dissected with the vitreous cutter, the tip of the cutter was broken and was aspirated with the membrane. Stereoscopic microscopy and scanning electron microscopy demonstrated that the edge that had broken at the cutter port was smooth.
Although 25-gauge instruments remain useful, care should be taken against rare surgical complications related to their fragility.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15531328</pmid><doi>10.1016/j.ajo.2004.05.035</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9394 |
| ispartof | American journal of ophthalmology, 2004-11, Vol.138 (5), p.867-869 |
| issn | 0002-9394 1879-1891 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67051999 |
| source | Elsevier |
| subjects | Biological and medical sciences Cataracts Catheterization Epiretinal Membrane - surgery Equipment Failure Equipment Failure Analysis Eye surgery Female Humans Intraoperative Complications Medical sciences Microscopy Microscopy, Electron, Scanning Middle Aged Ophthalmoscopy Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Vitrectomy - instrumentation |
| title | Intraoperative breakage of a 25-gauge vitreous cutter |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-10T13%3A49%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Intraoperative%20breakage%20of%20a%2025-gauge%20vitreous%20cutter&rft.jtitle=American%20journal%20of%20ophthalmology&rft.au=Inoue,%20Makoto&rft.date=2004-11-01&rft.volume=138&rft.issue=5&rft.spage=867&rft.epage=869&rft.pages=867-869&rft.issn=0002-9394&rft.eissn=1879-1891&rft.coden=AJOPAA&rft_id=info:doi/10.1016/j.ajo.2004.05.035&rft_dat=%3Cproquest_cross%3E3556272161%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c436t-e9202f0bec3e56810af2e49932a6571c3ec7a907c8f85524cdfb6740ec0e49603%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1644885276&rft_id=info:pmid/15531328&rfr_iscdi=true |