Predicting infusion pressure during pars plana vitrectomy: a physically based model (original) (raw)

2019, Modeling and Artificial Intelligence in Ophthalmology

Purpose: Intraocular pressure (IOP) during pars plana vitrectomy (PPV) decreases as aspiration generates flow, a phenomenon known as head loss. Since direct measurement of the IOP during surgery is impractical, currently, available compensating systems infer IOP by measuring infusion flow rate and estimating corresponding pressure drop. The purpose of the present paper is to propose and validate a physically based algorithm of the infusion pressure drop as a function of flow. Methods: Complete infusion lines (20G, 23G, 25G and 27G) were set up and primed. The infusion bottle was set at incremental heights and flow rate measured 10 times and recorded as mean Å} SD. Overall head loss (OHL) was defined, according to hydraulics laws, as the sum of frictional head loss (FHL; i.e., pressure drop due to friction along tubing) and exit head loss (EHL). The latter is equal to the kinetic energy of the exiting flow through the trocar (FKE = V2/2g). A 2nd degree polynomial equation (i.e., ΔP =...

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