By Robert Machemer M.D. (auth.), George W. Blankenship, Susanne Binder, Michel Gonvers, Mario Stirpe (eds.)

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The assembly was bolted to a 4-wheeled carL A special multi-function foot-switch was designed to control each of the above functions separately. This solution quickly became obsolete, as the vertical integration of existing consoles could not accommodate additional modalities, nor could it accept newer instrumentation. In 1981, we introduced a new concept: the selectable modular approach. We named it "Le System". In this concept, each surgical modality is confined to a miniaturized module having similar dimensions.

The instantaneous control of the patient's IOP during surgery required another type of automated apparatus: the Blankenship EPA, a fully motorized and remote controlled, infusion pole (7). Fluid-gas exchange was also automated by the introduction of motorized gas injectors. Constant press ure air pumps are now being widely used. The resurrection of silicone oil as a tamponade and, in some cases, as a vitreous substitute, led to the development of other kinds of automated devices: the silicone oil injectors (8).

CV Mosby, St Louis, p. 11. 6. Machemer R, Allen A W (1976): Retinal tears 180 and greater: Management with vitrectomy and intraocular gas. Arch Ophthalmol 94:1340-1346. 7. Machemer R, Aaberg TM (1979): Vitrectomy. Grune and Stratton, New York, 1979, pp. 33-35. 8. CharIes S (1981): Vitreous Microsurgery. Williams and Wilkins, Baltimore, pp. 21-31. W. Blankenship, M. Stirpe, M. Gonvers, S. ) Fidia Research Series, vol. 11, Liviana Press, Padova © 1986 Seetion III Anterior segment vitrectomy VITRECTOMY TECHNIQUES FOR THE ANTERIOR SEGMENT SURGEON Walter J.

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