Purpose:
We describe an alternative vitreoretinal technique that allows for the macular hole closure without filling the vitreous cavity with gas.
Methods:
A prospective interventional one-center case series from March 2019 to January 2020. …
Purpose:
To investigate the effectiveness of an intraoperative surgical technique to reduce the incidence of immediate postoperative cavity hemorrhage in patients undergoing vitrectomy for complications of proliferative diabetic retinopathy.
Met…
Purpose:
To develop a quick and cost-effective alternative to a chandelier light for vitrectomy.
Methods:
The surgical material available in an ophthalmologic operating room was used to create a sleeve for the vitrectomy light probe and test…
Purpose:
To describe a surgical variant for scleral buckling technique using a chandelier and scleral releasable suture.
Methods:
We collected retrospectively 20 eyes of 20 patients who underwent to scleral buckling for retinal detachment. I…
Purpose:
To describe our experience using the gyroscopic mouse in digitally assisted vitreoretinal surgery.
Methods:
We used a commercially available gyroscopic mouse to control the on-screen cursor of the NGENUITY System for digitally assis…
Purpose:
To show the usefulness of the intraoperative three-dimensional fluorescein angiography (3D-FA)-guided pars plana vitrectomy.
Methods:
The NGENUITY 3D visualization system was used for the digital assisted vitrectomy. Three-dimension…
Purpose:
There is renewed interest in subretinal drug delivery as the result of novel and emerging treatments for retinal diseases, including retinal gene therapy. However, our knowledge of the distribution of subretinally delivered drugs is incomp…
Purpose:
To describe a minimally invasive technique for the repair of large traumatic cyclodialysis clefts using intrascleral sewing machine suture and overhand friction knot techniques in pars plana vitrectomy.
Methods:
This prospective, noncomparative, interventional case series included seven eyes of seven patients with a large traumatic cyclodialysis cleft. The sewing machine technique was modified by an intrascleral approach. The procedure was transconjunctival or subconjunctival performed without scleral flaps/grooves. An overhand friction knot was used to lead the cutting ends of the suture buried in the scleral tunnel.
Results:
The closure of the cyclodialysis cleft was achieved in seven eyes. The mean follow-up duration was 49.1 ± 15.6 weeks (range, 30–70 weeks). The intraocular pressure increased from 7.3 ± 2.1 mm Hg (range, 5–11 mmHg) preoperatively to 13.6 ± 2.4 mm Hg (range, 10–17 mmHg) postoperatively (P
Medication errors are a major healthcare problem in todays high-paced, multi-faceted healthcare environment. A well-designed change model coupled with good care givers engagement is the best way to bring positive and sustainable change to the system. The aim of this study was to assess whether implementing a combination of Kotters change model and Hersey and Blanchards situational leadership model will improve the self-reporting of medication errors (MEs) among physicians and/or nurses and to understand how physicians and nurses respond to Hersey and Blanchards behavior modification tool by analyzing ME self-reporting data trends, as determined at the end of the study. We have perused Kotters 8-stage change management model to roll out this behavioral change research study. Kotter suggested creating a sense of urgency to initiate change. To support the change, we used the recently released (March 2019) regulatory policy on ME reporting and disseminating, which created a need and urgency among team to imbibe the change and its acceptance. There were zero reports in the first month i.e. July 2019, which was a surprise and required further investigation. The second month (August 2019) noted three reports (one near miss and two self-reported MEs), which was a success in our research model. In the third month, two self-reported cases were noted and one medication error was reported. The current research study had created an opportunity to implement a unique combination of Kotters model and Hersey and Blanchards situational theory model, which was not attempted before, nor was cited in the literature. Hence, further studies are warranted on a larger scale to solidify our results and the effective use of our proposed model in a healthcare management set-up to remove medication errors reporting.