Abstract
PurposeThis study analyzes the efficiency of different vitrectomy systems and compares single with double-bladed cutters.MethodsThe systems EVA™ (DORC), Constellation® Vision System (ALCON), megaTRON S4HPS (Geuder) and Stellaris® PC (Bausch and Lomb) were used. We chose 20G and 23G probes, since not all systems had switched to a smaller G at the time the study was conducted in 2016. Cut rates were varied in increments of 1000 cuts/min from 500 cpm to the system’s maximum and vacuum pressures were varied in increments of 100 mmHg, from 100 to 600 mmHg up to the individual system’s maximum. In this study water, egg white, Pluronic®−F127 gel and isolated porcine vitreous were used as models of human vitreous. The vitrectomy efficiency was calculated from the aspirated mass (g) within 30 s. The aperture of the different vitrectomy probes was filmed with a high-speed camera.ResultsThe area under the curve analysis showed differences in efficiency between vitrectomy systems. For water, a reverse relationship between the aspirated mass and cut rate was shown. By contrast, for most systems aspirated egg white and porcine vitreous showed a non-linear increase or decrease for 4000 cpm and above. For all vitreous surrogates, EVA™’s double-bladed probe aspirated significantly (p < 0.001) more vitreous than its mono-bladed probe. Video recordings showed less vitreous traction for double- in contrast to single-bladed probes.ConclusionWe can demonstrate differences in the efficiency of vitrectomy depending on the vitrectomy system used. Double-bladed probes were more efficient and probably safer than single-bladed probes.
Highlights
The closed pars plana vitrectomy, established by Robert Machemer in 1971, has advanced to the most frequently applied therapy of vitreoretinal pathologies over recent decades [1]
We can demonstrate differences in the efficiency of vitrectomy depending on the vitrectomy system used
– Despite the size, there are differences in the efficiency of vitrectomy depending on the vitrectomy system used
Summary
The closed pars plana vitrectomy, established by Robert Machemer in 1971, has advanced to the most frequently applied therapy of vitreoretinal pathologies over recent decades [1]. These pathologies include vitreous hemorrhage, complicated retinal detachment, macular hole, intraocular foreign body or endophthalmitis [2,3,4,5,6,7]. Aside from the further miniaturization of the scleral incision to mitigate trauma of the surgical procedure, a primary goal of recent vitreoretinal research is to increase the efficiency of the vitrectomy. Special attention needs to be devoted to the problem of flow in small diameter tubes
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