Post on 30-Jun-2015
description
Bimanuel Transconjunctival
Vitrectomy
Bimanuel Bimanuel Transconjunctival Transconjunctival
VitrectomyVitrectomy
Dr. Tunç OvalıDr. TunDr. Tunçç OvalOvalıı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
No financial disclosure
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
…… my short storymy short story
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Dr. Tunç Ovalı
VitreusVitreus--InfusionInfusion--SuctionSuction--CutterCutter
Robert MachemerRobert Machemer
19701970
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Bimanuel Transconjonctival Vitrectomy :
1.During surgery for complicated diabetic tractional detachment
2.During surgery for retinal detachment with excesive membranes in the
posterior pole
3.During removal of vitreus in the periphery and
peripheric
endophotocoagulation
facilitates the surgeryDr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Diabetic Tractionel Membrane ExcisionDiabetic Tractionel Membrane Excision
-- DelaminationDelamination …… horizontal scissorhorizontal scissor
-- SegmentationSegmentation …… vertical scissorvertical scissor
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Dr. Tunç Ovalı
Prof.Dr. Robert Machemer
University of Duke University of Duke
19991999
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Vitreoretinal surgical equipment
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Dr. Tunç OvalıMai 2005 FRANKFURT
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Transconjunctival Vitrectomy ( 2005 ) - two step canulla system- one step canulla system
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Dr. Tunç OvalıDr. Tunç Ovalı
20 G delamination with a horizontal scissor
Bimanuel surgery – chandelier light
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
For bimanuel transconjunctival vitrectomy there is need for …
- Strong chandelier light
- Surgical equipment which passes thrue the cannulas
- These equipment has to be stiff enough
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Dr. Tunç Ovalı
20 G
23 G
horizontal straight
The tip is sharp!!The tip is sharp!!
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Dr. Tunç Ovalı
+
OvalOvalıı micromicro--scissorscissor
20 G
23G
20 G
23G
23G
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transkonjonktival VitrektomiBimanuel Transkonjonktival VitrektomiBimanuel Transkonjonktival Vitrektomi
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
. In retinal detachment cases …- primery surgery anterior PVRanterior PVR ̴ % 30- recurrence “ “ % 70
. For complicated diabetic cases most serious complication isanterior hyaloidal fibrovascular proliferationanterior hyaloidal fibrovascular proliferation
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Dr. Tunç Ovalı
Periferik Vitreus
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Dr. Tunç Ovalı
Periferik laser
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Four sclerotomiesFour sclerotomies -- four canullasfour canullas
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
Bimanuel surgery - chandelier light
Facilitates the controle of the peripheric retinaFacilitates the controle of the peripheric retina
- Total peripheric vitrectomy- Endophotocoagulation until to the ora serrata - Prevents peripheric complications to be overlooked
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
…
With bimanuel surgery
Pars plana vitrectomy
- is saver ( less complications )- lasts shorter
Dr. Tunç Ovalı
Dr. Tunç Ovalı
Bimanuel Transconjunctival VitrectomyBimanuel Transconjunctival VitrectomyBimanuel Transconjunctival Vitrectomy
““ Four port vitrectomyFour port vitrectomy““
Dr. Tunç Ovalı
Thank youThank you
tuncovali @ fulyaretina.comGSM : + 90 532 737 00 17
Dr. Tunç Ovalı
Primer Pars Plana VitrektomiPrimer Pars Plana VitrektomiPrimer Pars Plana Vitrektomi