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Schuman, Everyday OCT

Clinical Science

Optic Fibre Free Intravitreal Surgical System (OFFISS) in Retinal Detachment Surgery

Ophthalmic Surgery, Lasers and Imaging   Vol. 39   No. 6   November/December 2008
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Jerzy Nawrocki, MD, PhD; Zofia Michalewska, MD and Janusz Michalewski, MD

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BACKGROUND AND OBJECTIVE

Scleral buckling is widely used for the treatment of rhegmatogenous retinal detachment. The use of the Optic Fibre Free Intravitreal Surgical System (OFFISS) (Topcon Inc., Paramus, NJ) in scleral buckling performed as a complete microsurgical procedure is described.

PATIENTS AND METHODS

Seven eyes of seven consecutive patients with rhegmatogenous retinal detachment underwent scleral buckling. The OFFISS was used as the illumination and visualization system during all surgical steps.

RESULTS

Anatomic success occurred in 6 of 7 eyes (85.7%). After a second intervention, the retina was reattached in all cases. Functional success, described as improvement or stabilization of visual acuity, was observed in 6 of 7 eyes (85.7%).

CONCLUSION

The OFFISS is a useful tool for observation of the posterior segment of the eye during surgery for retinal detachment. All surgical steps are performed under high magnification and surgery can be more precise. Intraoperative complications are minimized.

[Ophthalmic Surg Lasers Imaging 2008;45:466-470.]

AUTHORS

From Ophthalmic Clinic “Jasne Blonia,” Lodz, Poland.

Accepted for publication September 28, 2007.

Presented in part at the European VitreoRetinal Society and American Society of Retina Specialists annual meeting, September 9-13, 2006, Cannes, France; and the American Academy of Ophthalmology annual meeting, Las Vegas, Nevada, November 11-14, 2006.

Address correspondence to Zofia Michalewska, MD, Klinika Okulistyczna Jasne Blonia, ul. Rojna 90, 91-162 Lodz, Poland.

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