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  • Title: New infusion cannula for prevention of retinal damage by infusion air during vitrectomy.
    Author: Hirata A, Yonemura N, Hasumura T, Murata Y, Negi A, Tanihara H.
    Journal: Retina; 2003 Oct; 23(5):682-5. PubMed ID: 14574255.
    Abstract:
    PURPOSE: Postoperative visual field defects are sometimes found after macular hole surgery. We have previously shown that damage to the retina by air infusion from an infusion cannula is a causative factor. To minimize such damage, we modified the infusion cannula and examined its effects experimentally. METHODS: An infusion cannula with a closed tip and openings on four sides was created. Experimentally, a vitrectomy was performed in rabbit eyes using this new infusion cannula or a conventional cannula. After fluid-air exchange at an air pressure of 40 mmHg, eyes were removed and processed for histologic examination. The areas of the retinal damage caused by air infusion were evaluated. RESULTS: The area of retinal damage created by the new cannula was reduced significantly when compared with damage from conventional cannula use. CONCLUSION: This new cannula, designed for the purpose of scattering the air infusion, can reduce retinal damage, which leads to less frequent postoperative visual field defects.
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