Foveal translocation surgery with 360° retinotomy involves several surgical procedures, including creation of a total retinal detachment, rotation of the retina, and complete reattachment of the retina. Some of these procedures, which are time-consuming and difficult to perform, may damage the retina when conventional surgical instruments are used. To make these procedures safer and easier, we have developed 3 soft instruments: an atraumatic forceps, a modified Chang double-barrel cannula with a silicone tip, and a light pipe with a silicone tip. The atraumatic forceps allows the surgeon to grasp and peel off the retina with less damage during the creation of retinal detachment. A bimanual technique using the other 2 instruments allows surgeons to rotate and reattach the detached retina easily and safely. We believe that these soft-tipped instruments make foveal translocation a less complicated surgery.
Ohji M, Tano Y, Scheller GD, Chang S. New Soft-Tipped Instruments for Foveal Translocation Surgery With 360° Retinotomy. Arch Ophthalmol. 2000;118(10):1422-1424. doi:10.1001/archopht.118.10.1422