A simulated eye for vitreous surgery using Japanese quail eggs

A simulated eye for vitreous surgery using Japanese quail eggs
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DOI:
10.1007/s00417-012-2247-6
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发表时间:
2013-06-01
影响因子:
2.7
通讯作者:
Okinami, Satoshi
Okinami, Satoshi
中科院分区:
医学3区
文献类型:
--
作者:
Hirata, Akira;Iwakiri, Ryo;Okinami, Satoshi

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我们利用日本鹌鹑蛋制作了用于玻璃体手术训练的模拟眼,并验证了其实用性。我们使用专用刀具将日本鹌鹑蛋的尖端切掉,在裸露区域安装硅胶模拟巩膜帽,并将鸡蛋固定在底座上。按照玻璃体手术常规流程将套管针置入模拟巩膜内,将卵黄和蛋白视为玻璃体,用玻璃体切割器将其切除。蛋壳内膜如同内界膜一样进行剥膜。蛋黄和蛋白可以用玻璃体切割器以与玻璃体相同的方式切除。亮蓝G等染色剂染色后,可以看到蛋壳内膜,可以用玻璃体钳进行剥离,与正常剥离人体内界膜的方式相同。该模型可用于模拟玻璃体手术中玻璃体腔的空间识别。事实证明,该模型对于端口创建、中央玻璃体切除和黄斑区膜操作的初始训练非常有用。
We produced a simulated eye for vitreous surgery training by using Japanese quail eggs, and verified its utility.We used a special cutter to cut off the sharp end of a Japanese quail egg, fitted a silicone simulated sclerocorneal cap to the exposed area, and fixed the egg to a base. Trocars were placed in the simulated sclera according to the usual procedure for vitreous surgery, and the yolk and albumen were treated as the vitreous body, and resected by using a vitreous cutter. Membrane peeling was performed on the inner eggshell membrane as if it were the internal limiting membrane.The yolk and albumen could be resected with a vitreous cutter in the same way as the vitreous body. The inner eggshell membrane could be visualized under staining with Brilliant Blue G and other stains, enabling peeling to be performed with vitreous forceps in the same way as is normally performed for the human internal limiting membrane.This model can be used for simulating the spatial recognition of the vitreous chamber during vitreous surgery. This model proved useful for initial training in port creation, central vitreous body resection, and membrane manipulation in the macular area.