RetinaLink is pleased to feature Alan J. Franklin, MD, PhD and his experience with 3D surgery. In 2017, Dr. Franklin, Mobile, Alabama, shared two of the most viewed 3D videos on RetinaLink, IOL Repositioning and his Stickler’s Syndrome patient. Dr. Franklin shares his initial surgical experience with ALCON’s NGENUITY® 3D Visualization System and their latest software upgrade. This new software version, 1.2, incorporates video overlay with the ALCON CONSTELLATION® Vision System.
“I believe we are on the dawn of a new era of vitreoretinal surgery with the important triad of advances that include ultra high speed beveled vitrectomy instruments, NGENUITY high resolution heads-up display and the integration of video overlay communicating with the surgical platform,” said Dr. Franklin.
The first video highlights a 48-year-old female patient with a chronic subtotal retinal detachment and proliferative diabetic retinopathy, Pre-op VA: LP. You will see on the video that I engage the pre-retinal tenacious membranes with the beveled vitrector cutter tip and actually visualize the aspiration in “real time“. The 25-gauge Tano Asymmetrical forceps allows me to atraumatically delaminate a prominent subretinal band and you can see the importance and triad of technology come together. Laser, AFX and silicone oil were required to complete this patient’s procedure.
Post-op VA: 1 month: CF
The second procedure is a 41-year-old male patient with a chronically detached retina secondary to proliferative diabetic retinopathy. Pre-op VA: Bare LP. The beveled edge of the cutter acts like a “Swiss Army knife“. It allows the opportunity to get under the tenacious membranes. Ultimately, a good anatomical result and outcomes for both patients. Post-op VA: 1 month: CF