Novel use of Finesse Flex loop for macular hole retinal detachment

Kubota, Masaomi; Watanabe, Tetsu; Hayashi, Takaaki; Watanabe, Akira; Nakano, Tadashi

doi:10.1016/j.ajoc.2020.100703

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…The Finesse flex loop is known to penetrate around 85% of the ILM and not into the retina. 13 It also helps in much more controlled ILM peeling in our patients and helped in easily guiding the ILM for a circumferential peel sparing the ILM around the fovea. This technique prevented the inadvertent trauma that can occur sometimes to inner retinal layers due to conventional direct ‘‘pinch-and-peel’’ and the diamond-dusted membrane scrapers.…”

Section: Discussionmentioning

confidence: 89%

“…Theoretically, both techniques should give comparable results, with a slight advantage of finesse loop, considering the more controlled peel that is achieved with minimal trauma to retinal layers. 13 Second deviation from the previously mentioned technique was the length of ILM frill left during the peel. While Ho et al 8 and Murphy et al 7 kept around 0.4–0.7 mm frill of ILM around the MH, Morescalchi et al 12 used an ill-defined landmark of orange pigmentation of the fovea, as the end point of peel.…”

Section: Discussionmentioning

confidence: 97%

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Fovea sparing internal limiting membrane peeling for idiopathic macular holes—Report of unfavourable outcomes of a surgical technique

Tyagi

Sahoo

Belenje

et al. 2022

European Journal of Ophthalmology

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Purpose To describe the outcomes of fovea-sparing internal limiting membrane peeling for idiopathic macular holes. Method This was a prospective, interventional case series in patients with idiopathic macular holes. Patients underwent fovea-sparing internal limiting membrane (ILM) peeling with the help of a finesse loop. The primary outcome measure was successful anatomical closure. Secondary outcome measures were postoperative improvement in best corrected visual acuity (BCVA) or any surgical complications. Results The study included 22 eyes of 22 patients (median age of 61 (IQR 58 to 66) years). The median basal diameter of the holes was 1054 (IQR 961.5 to 1278) microns, while the median minimal linear diameter was 697 (IQR 461.5 to 786) microns. Successful anatomic closure was achieved in nine cases out of 22 (40.9%). BCVA improved from 20/125 preoperatively to 20/80 at the end of the follow-up. There was no difference in baseline parameters between eyes with closure, versus eyes with an open hole. One eye had an iatrogenic break in an attempt to reinitiate peeling and create a fovea-sparing flap. One of the eyes had an ERM formation at end of 3 months. Conclusion Our outcomes of fovea-sparing ILM peeling in idiopathic macular holes were unfavourable. The residual ILM could be causing tangential traction resulting in non-closure.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 97%

Fovea sparing internal limiting membrane peeling for idiopathic macular holes—Report of unfavourable outcomes of a surgical technique

Tyagi

Sahoo

Belenje

et al. 2022

European Journal of Ophthalmology

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“…Many surgical instruments for removing VCR have already been reported, including nitinol loops (Finesse Flex Loop, Alcon, Fort Worth, TX), diamond-dusted membrane scrapers (Synergetics, O'Fallon, MO), and polyvinyl alcohol (PVA). [4][5][6] Each instrument has some advantages, but also expected drawbacks, such as inducing retinal injury, high cost, time consumption, and lack of availability in some countries.…”

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confidence: 99%

Vitreous Cortex Remnants Removal With Beveled Vitrectomy Probe During Vitrectomy For Primary Rhegmatogenous Retinal Detachment

Hwang

Lee

Nam

2023

Retina

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Purpose: To introduce a new surgical technique with a beveled vitrectomy probe for the removal of peripheral vitreous cortex remnants (VCR) in primary rhegmatogenous retinal detachment (RRD).Methods: This study was a retrospective case series. From September 2019 to June 2022, 54 patients with complete or partial posterior vitreous detachment who underwent vitrectomy for primary RRD by a single surgeon were enrolled.Results: After staining the vitreous with triamcinolone acetonide, the presence of VCR was assessed in detail. If VCR were present, the macular VCR were removed using surgical forceps, and then, a free flap of peripheral VCR was used as a handle for removing peripheral VCR using the beveled vitrectomy probe. Of the total patients, the presence of VCR was confirmed in 16 patients (29.6%). There were no intraoperative or postoperative complications, except for retinal redetachment caused by proliferative vitreoretinopathy, that occurred in only one eye (1.9%).Conclusion: Using a beveled vitrectomy probe was a practical solution for removing VCR during RRD vitrectomy because additional instruments were not needed and risk of iatrogenic retinal damage was low.

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