CN112951057B - Simplified simulation platform for ophthalmic vitreoretinal surgery - Google Patents

Simplified simulation platform for ophthalmic vitreoretinal surgery Download PDF

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CN112951057B
CN112951057B CN202110105803.3A CN202110105803A CN112951057B CN 112951057 B CN112951057 B CN 112951057B CN 202110105803 A CN202110105803 A CN 202110105803A CN 112951057 B CN112951057 B CN 112951057B
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CN112951057A (en
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潘钦托
胡旭颋
张兆亮
张宗端
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Wenzhou Youcai New Material Co ltd
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Eye Hospital of Wenzhou Medical University
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    • GPHYSICS
    • G09EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09BEDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B23/00Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
    • G09B23/28Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
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    • GPHYSICS
    • G09EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09BEDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B23/00Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
    • G09B23/28Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
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Abstract

The invention discloses a simplified simulation platform for ophthalmic vitreoretinal surgery, which comprises a lower support half shell with an upward opening and an upper support half shell with a downward opening, wherein the upper support half shell is connected to the top of the lower support half shell in a threaded manner, the top of the upper support half shell is provided with a through hole, the outer side wall of the upper support half shell at the through hole is fixedly provided with an eye cornea shell with a downward opening, the inner wall of the upper support half shell at the through hole is fixedly bonded with a hollow capsule shell, and a crystalline lens is placed in the capsule shell. The design of eyeball is divided into two parts of detachable upper and lower combination type, the upper half can simulate cataract operation, the lower half can simulate and design various types of vitreoretinal diseases, such as retinal detachment, epimacular membrane, macular hole, diabetic retinopathy and the like, thus the operation process of simulating various fundus diseases can be realized by replacing different models in the lower part.

Description

Simplified simulation platform for ophthalmic vitreoretinal surgery
Technical Field
The invention relates to the technical field of medical teaching aids, in particular to a simplified simulation platform for ophthalmic vitreoretinal surgery.
Background
Human eyes are quite complicated natural optical instruments, and the scene of five-light ten-color instantaneous change can be seen because the eyes receive light reflected or scattered by an object, so that doctors mostly use albums and electronic audio-video videos to explain when explaining the principle and the flow of an operation for patients or students, and at present, eye models are mostly demonstration models about the internal structure of eyeballs and cannot intuitively explain the pathological conditions of the eyes.
In medical teaching, the demonstration model of eyes is wide in range, the existing eyeball structure model only can provide a three-dimensional physical model for learners or patients to observe the internal structure of the eyeball, the change of each structure cannot be controlled by actual manual operation, the demonstration items are few, and the learners and the patients cannot understand the demonstration models deeply conveniently.
Therefore, there is a need to establish a simplified simulation platform for ophthalmic vitreoretinal surgery, which facilitates the medical staff and teachers to simulate the general process of cataract surgery and vitreoretinal surgery in a patient's ward or classroom, and helps students and patients understand the key steps of surgery, thus helping them to understand the structure and function of the eyeball more clearly and intuitively. Simultaneously this simple and easy platform can also regard as clinician's operation exercise platform to reach better teaching, propaganda and education, inform the effect.
Disclosure of Invention
The invention aims to provide a simplified simulation platform for ophthalmic vitreoretinal surgery, which is convenient for intuitively explaining the structure and the function of eyeballs in the medical teaching process and simulating some surgical processes in operation.
In order to achieve the purpose, the invention provides the following technical scheme:
the simplified simulation platform for the ophthalmic vitreoretinal surgery comprises a lower supporting half shell with an upward opening and an upper supporting half shell with a downward opening, wherein the upper supporting half shell is in threaded connection with the top of the lower supporting half shell, and a base is arranged below the lower supporting half shell;
the top of the upper supporting half shell is provided with a through hole, the outer side wall of the upper supporting half shell at the through hole is fixedly provided with an eye cornea shell with a downward opening, the inner wall of the upper supporting half shell at the through hole is fixedly bonded with a hollow saccular shell, the top of the saccular shell is provided with a pupil shell, the pupil shell is detachably bonded in the pupil scattering simulation hole, and the top of the pupil shell is provided with a pupil through hole;
the bionic iris lens is bonded to the top of the capsule-shaped shell, a crystalline lens is placed in the capsule-shaped shell, and the crystalline lens is in a normal transparent state and a diseased turbid state;
the cornea shell is provided with a main cornea incision through hole and a side cornea incision through hole close to the edge, and the interval angle range of the main cornea incision through hole and the side cornea incision through hole is 70-120 degrees;
the upper support half shell is provided with a plurality of operation through holes, the outer side wall of the upper support half shell is provided with an upper sclera half shell in a magnetic attraction connection mode, sclera operation through holes are formed in the positions, corresponding to the operation through holes, of the upper sclera half shell, a detachable sleeve cap is tightly installed in the sclera operation through holes, and the sleeve cap is provided with a puncture through hole;
the outer side wall of the lower supporting half shell is provided with a lower sclera half shell in a magnetic attraction connection mode, the inner wall of the lower supporting half shell is provided with a bionic choroid, the bionic choroid is provided with a bionic retina, the bionic retina can be used in a plurality of replacement modes, different pathological structures can be arranged on the bionic retina, a choroid fixed fit ring and a retina fixed fit ring are fixedly arranged on the inner wall of the lower supporting half shell close to the edge, the retina fixed fit ring is located above the choroid fixed fit ring, a choroid magnetic attraction fixing ring is fixedly arranged at the edge of the bionic choroid, a retina magnetic attraction fixing ring is fixedly matched with the choroid fixed fit ring in a magnetic attraction mode, and the retina magnetic attraction fixing ring is fixedly matched with the retina fixed fit ring in a magnetic attraction mode;
a bionic blood vessel is arranged in the bionic choroid, and a bionic blood vessel is arranged in the bionic retina;
an upper half-shell bionic choroid is attached to the inner wall of the upper supporting half-shell, an upper half-shell bionic retina is attached to the upper half-shell bionic choroid, bionic blood vessels are arranged on the upper half-shell bionic choroid, and the bionic blood vessels are arranged on the upper half-shell bionic retina;
the bionic retina is provided with a lesion replacing hole, a lesion retina is detachably bonded in the lesion replacing hole, the lesion retina and the bionic choroid are peeled and arched, and the lesion retina is provided with a lesion perforation;
the fixed support column that upwards extends that is equipped with of base top bilateral symmetry, the position that the support column is close to the top has rotatory through-hole, rotatory through-hole normal running fit is equipped with the back shaft, the back shaft with half fixed connection of under bracing shell.
Preferably, the upper support half-shell is a rigid transparent material.
Description of the invention: the upper supporting half shell can play a good supporting role for hard transparent materials, and the internal condition of the eyeball can be conveniently and visually observed.
Preferably, the fixed balancing weight that is equipped with in base bottom, the base top is equipped with the dust shell that can wrap up half shell of lower support and the half shell of upper support.
Description of the drawings: the balancing weight makes whole device more stable, and the dust proof housing plays dustproof guard action when this device is idle.
Preferably, the biomimetic choroid and the biomimetic retina are made of a flexible biomimetic material.
Description of the drawings: the flexible bionic material enables the operation demonstration process to be more real.
Preferably, the saccular shell is made of a flexible bionic rubber material, and the cornea shell is made of a transparent material and is made of a transparent material.
Description of the invention: the capsule-shaped shell made of the flexible bionic rubber material is convenient for taking out and demonstrating the crystalline lens inside the capsule-shaped shell in the demonstrating process.
Preferably, a rubber plug is arranged in the puncture through hole in a tight fit mode.
Description of the drawings: the rubber buffer plays the dustproof effect of protection.
Preferably, another bionic retina has a macular degeneration area, the macular degeneration area has a macular hole, and the edge of the macular hole is tilted upwards.
Description of the drawings: the macular degeneration characteristics are conveniently and intuitively demonstrated.
Preferably, the other bionic retina is detachably adhered with an anterior macular membrane.
Description of the drawings: the characteristics of the macular membrane lesion are conveniently and visually demonstrated.
Preferably, another bionic retina is internally provided with a diabetic retinopathy replacing hole, a microaneurysm replacing membrane, a bleeding spot replacing membrane, a rigid exudation replacing membrane, a cotton velvet spot replacing membrane, a vein bead-shaped replacing membrane and an intraretinal microvascular abnormality replacing membrane are detachably bonded in the diabetic retinopathy replacing hole, and a circle of pathological proliferation membrane is attached to the diabetic retinopathy replacing hole.
Description of the drawings: different characteristic manifestations of diabetic retinopathy are conveniently and intuitively demonstrated.
Preferably, the device also comprises matched surgical equipment, wherein the matched surgical equipment comprises a sclera puncture knife model, a vitreous cutter model, a perfusion tube model, an intraocular illumination light guide optical fiber model, an intraocular laser model, an intraocular membrane peeling forceps model, a plano-concave lens model, an inclined concave lens model, a biconcave lens model, an artificial lens model, a cornea main incision knife model, a cornea side incision knife model, a capsulorhexis forceps model, an iris restorer model, a nucleus splitter model, an ultrasonic emulsification suction device model and a perfusion suction device model;
the sclera puncture knife model comprises a sclera puncture knife handle, one end of the sclera puncture knife handle is fixedly provided with a sclera puncture needle tip, and a sclera puncture sleeve is arranged on the sclera puncture needle tip in a sliding fit manner;
the vitreous cutter model comprises a vitreous cutter handle, one end of the vitreous cutter handle is fixedly provided with a vitreous cutter needle tube, and the other end of the vitreous cutter handle is provided with a hose connector I and a hose connector II;
the perfusion tube model comprises a perfusion head, wherein a perfusion small tube is fixedly arranged at one end of the perfusion head, and a perfusion hose is fixedly connected at the other end of the perfusion head;
the intraocular illumination light guide optical fiber model comprises an illumination handle, wherein a hollow metal thin tube is fixedly arranged at one end of the illumination handle, a light guide optical fiber is fixedly arranged at the other end of the illumination handle, and an optical fiber in the light guide optical fiber penetrates into the metal thin tube;
the intraocular laser model comprises an intraocular laser handle, one end of the intraocular laser handle is fixedly provided with a hollow laser containing metal thin tube, the other end of the intraocular laser handle is fixedly provided with a laser optical fiber, and the optical fiber in the laser optical fiber penetrates into the laser containing metal thin tube;
the model of the intraocular membrane peeling forceps comprises a handle of the intraocular membrane peeling forceps, one end of the handle of the intraocular membrane peeling forceps is fixedly provided with a hollow membrane peeling forceps accommodating thin tube, and the membrane peeling forceps accommodating thin tube is internally provided with telescopic membrane peeling forceps;
one end of the plano-concave lens model is a plane, the other end of the plano-concave lens model is provided with a concave surface, and the end of the plano-concave lens model with the concave surface can be just in contact fit with the cornea shell of the eye;
one end of the oblique concave lens model is an oblique plane, and the other end of the oblique concave lens model is provided with a concave surface;
both ends of the biconcave lens model are concave surfaces;
the artificial lens model comprises an artificial lens main body, wherein supporting loops are fixedly arranged at the center of the side end of the artificial lens main body in a centrosymmetric manner;
the cornea main incision knife model comprises a cornea main incision knife handle, and a cornea main incision knife blade is fixed at the top end of the main incision knife handle;
the corneal side incision knife model comprises a corneal side incision knife handle, and a corneal side incision knife blade is fixed at the top of the corneal side incision knife handle; the knife tip of the cornea side incision blade is in an angle;
the capsulorhexis forceps model comprises a capsulorhexis forceps body, the top of the capsulorhexis forceps body is a slender capsulorhexis forceps tip, and the tip of the capsulorhexis forceps tip is provided with an upward pointed bulge;
the iris restorer model comprises an iris restorer handle, and a metal straight and narrow sheet is obliquely fixed at the top of the iris restorer handle;
the nucleus splitting device model comprises a nucleus splitting device handle, a nucleus splitting hook is fixed at the top of the nucleus splitting device handle, and the tip end of the nucleus splitting hook is bent upwards;
the ultrasonic emulsification aspirator model comprises a handle of the ultrasonic emulsification aspirator, an ultrasonic emulsification aspiration tube is fixed at the top end of the handle of the ultrasonic emulsification aspirator, and an ultrasonic energy tube, a water irrigation tube and a suction tube are fixed at the lower end of the handle of the ultrasonic emulsification aspirator;
the perfusion aspirator model comprises a perfusion aspirator handle, a perfusion suction tube is fixed at the top end of the perfusion aspirator handle, the top of the perfusion suction tube is in a round blunt shape, a perfusion suction tube hole perpendicular to the axial extension of the perfusion suction tube is formed in the position, close to the top, of the perfusion suction tube, a suction pipeline is fixedly arranged at the bottom of the perfusion aspirator handle, and a perfusion pipeline is arranged in the bottom of the perfusion aspirator handle.
Description of the invention: these matched surgical equipment models are designed to more intuitively represent the surgical procedure.
Compared with the prior art, the invention has the beneficial effects that: the invention has reasonable structural design and convenient operation, the design of the eyeball is divided into a detachable upper part and a detachable lower part which are combined, the upper part can simulate cataract surgery, the lower part can simulate and design various types of vitreoretinal diseases, such as retinal detachment, epimacular, macular hole, diabetic retinopathy and the like, thus realizing the surgery process of simulating various fundus diseases by replacing different models in the lower part, and becoming a diversified teaching model surgery platform.
Drawings
FIG. 1 is a front view of the present invention;
FIG. 2 is a top view of FIG. 1;
FIG. 3 is a partial view A of FIG. 1;
FIG. 4 is a schematic view of a normal retina in the present invention;
FIG. 5 is a schematic view of retinal detachment in accordance with the present invention;
FIG. 6 is a schematic view of a macular hole in the present invention;
FIG. 7 is a schematic representation of the pre-macular membrane of the present invention;
FIG. 8 is a schematic representation of diabetic retinopathy in accordance with the present invention;
FIG. 9 is a schematic view of a model scleral puncture blade according to the present invention;
FIG. 10 is a schematic diagram of the construction of the vitreous cutter model of the present invention;
FIG. 11 is a schematic view of the construction of the infusion tube model of the present invention;
FIG. 12 is a schematic structural diagram of an intraocular illumination light guide fiber model according to the present invention;
FIG. 13 is a schematic view of the structure of an intraocular laser model according to the present invention;
FIG. 14 is a schematic structural diagram of an intraocular membrane-peeling forceps model according to the present invention;
FIG. 15 is a schematic structural view of a plano-concave lens model of the present invention;
FIG. 16 is a schematic structural view of a model of a biconcave lens according to the present invention;
FIG. 17 is a schematic structural view of a biconcave lens model in accordance with the present invention;
FIG. 18 is a schematic structural view of an intraocular lens model of the present invention;
FIG. 19 is a schematic view showing the structure of a main corneal incision knife model according to the present invention;
FIG. 20 is a schematic view showing the structure of a model of a corneal side incision knife in the present invention;
FIG. 21 is a schematic structural diagram of a capsulorhexis forceps model according to the present invention;
FIG. 22 is a schematic view showing the structure of an iris restorer model of the present invention;
FIG. 23 is a schematic view of the structure of the nucleus splitter model of the present invention;
FIG. 24 is a schematic view showing the construction of a model of an ultrasonic emulsification aspirator in accordance with the present invention;
FIG. 25 is a schematic view showing the structure of a model of the perfusion aspirator of the present invention. In the figure, the position of the upper end of the main shaft, 10-lower supporting half shell, 101-choroid fixed matching ring, 102-retina fixed matching ring, 11-upper supporting half shell, 111-through hole, 112-operation through hole, 12-cornea shell, 121-cornea main incision through hole, 122-cornea side incision through hole, 13-saccular shell, 130-pupil shell, 131-pupil through hole, 132-crystalline lens through hole, 133-bionic film, 134-pupillary astigmatic analogue hole, 135-bionic iris, 14-crystalline lens, 15-cap, 151-puncture through hole, 16-rubber plug, 17-upper half shell bionic choroid, 18-upper half shell bionic retina, 20-lower sclera half shell, 21-bionic choroid, 211-choroid magnetic attraction fixing ring, 22-bionic retina magnetic attraction fixing ring, 22-retina magnetic attraction fixing ring 221-retina magnetic attraction fixing ring, 222-lesion replacement hole, 223-macular lesion area, 2231-macular hole, 224-diabetic retinopathy replacement hole, 2241-lesion proliferation membrane, 23-upper sclera half shell, 231-scleral operation through hole, 30-base, 301-counterweight block, 31-supporting column, 32-rotating through hole, 33-supporting shaft, 34-dustproof shell, 40-lesion retina, 401-lesion perforation, 41-epimacular membrane, 42-microaneurysm replacement membrane, 43-hemorrhagic spot replacement membrane, 44-hard exudation replacement membrane, 45-cotton velvet spot replacement membrane, 46-vein bead replacement membrane, 47-intraretinal microvascular abnormality replacement membrane, 51-scleral puncture knife model, 511-sclera puncture knife handle, 512-sclera puncture needle tip, 513-sclera puncture cannula, 52-vitreous cutter model, 521-vitreous cutter handle, 522-vitreous cutter needle tube, 523-first hose connector, 524-second hose connector, 53-perfusion tube model, 531-perfusion head, 532-perfusion small tube, 533-perfusion hose, 54-intraocular illumination light guide fiber model, 541-illumination handle, 542-metal thin tube, 543-light guide fiber, 55-intraocular laser model, 551-intraocular laser handle, 552-laser accommodation metal thin tube, 553-laser fiber, 56-intraocular membrane stripping forceps model, 561-intraocular membrane stripping forceps handle, 562-membrane stripping forceps accommodation thin tube, 563-membrane stripping forceps handle, 52-vitreous cutter model, 521-vitreous cutter handle, 522-vitreous cutter needle tube, 523-first hose connector, 524-hose connector, 53-perfusion tube model, 531-perfusion head, 532-perfusion small tube, 533-laser accommodation metal thin tube, 553-laser fiber, 56-intraocular membrane stripping forceps model, 561-intraocular membrane stripping forceps handle, 562-membrane stripping forceps accommodation thin tube, 563-membrane stripping forceps handle, and 57-plano-concave lens model, 58-oblique concave lens model, 59-biconcave lens model, 61-intraocular lens model, 611-intraocular lens body, 612-support tab, 62-main corneal incision knife model, 621-main corneal incision knife handle, 622-main corneal incision knife blade, 63-side corneal incision knife model, 631-side corneal incision knife handle, 632-side corneal incision knife blade, 64-capsulorhexis forceps model, 641-capsulorhexis forceps body, 642-capsulorhexis forceps tip, 65-iris restorer model, 651-iris restorer handle, 652-metal straight narrow slice, 66-nucleus splitter model, 661-nucleus splitter handle, 662-nucleus hook, 67-ultrasonic emulsification suction device model, 671-ultrasonic emulsification suction device handle, and, 672-ultrasonic emulsification suction pipe, 673-ultrasonic energy pipe, 674-irrigation pipe, 675-suction pipe, 68-perfusion aspirator model, 681-perfusion aspirator handle, 682-perfusion suction pipe, 683-suction pipeline and 684-perfusion pipeline.
Detailed Description
The invention will now be described in detail with reference to fig. 1-17, for ease of description, the orientations described below will now be defined as follows: the up, down, left, right, and front-back directions described below correspond to the up, down, left, right, and front-back directions of the projection relationship of fig. 1 and the projection relationship of the respective configuration diagrams.
Example 1:
the simplified simulation platform for ophthalmic vitreoretinal surgery comprises a lower supporting half shell 10 with an upward opening and an upper supporting half shell 11 with a downward opening, wherein the upper supporting half shell 11 is made of hard transparent material, the upper supporting half shell 11 is in threaded connection with the top of the lower supporting half shell 10, and a base 30 is arranged below the lower supporting half shell 10;
as shown in fig. 1, the top of the upper supporting half shell 11 has a through hole 111, an eye cornea shell 12 with a downward opening is fixed on the outer side wall of the upper supporting half shell 11 at the through hole 111, a hollow capsule shell 13 is fixed on the inner wall of the upper supporting half shell 11 at the through hole 111 in a bonding manner, the top of the capsule shell 13 has a pupil scattering simulation hole 134, a pupil shell 130 is detachably bonded in the pupil scattering simulation hole 134, a pupil through hole 131 is formed on the top of the pupil shell 130, the capsule shell 13 is made of a flexible bionic rubber material, and the eye cornea shell 12 is made of a transparent material;
the bottom of the capsule-shaped shell 13 is provided with a crystalline lens through hole 132, the inner wall of the capsule-shaped shell 13, which is provided with the pupil through hole 131, is provided with a bionic film 133 in a bonding manner, the top of the capsule-shaped shell 13 is provided with a bionic iris 135 in a bonding manner, and a crystalline lens 14 is placed in the capsule-shaped shell 13;
the cornea shell 12 of the eye is provided with a cornea main cut through hole 121 and a cornea side cut through hole 122 near the edge, and the angle between the cornea main cut through hole 121 and the cornea side cut through hole 122 is 70 degrees;
as shown in fig. 2, the upper support half shell 11 has a plurality of operation through holes 112, as shown in fig. 1, an upper sclera half shell 23 is magnetically attached to the outer side wall of the upper support half shell 11, a sclera operation through hole 231 is formed in a position of the upper sclera half shell 23 corresponding to the operation through holes 112, a detachable cap 15 is tightly mounted in the sclera operation through hole 231, a puncture through hole 151 is formed in the cap 15, and a rubber plug 16 is tightly fitted in the puncture through hole 151;
the outer side wall of the lower support half shell 10 is provided with a lower sclera half shell 20 in a magnetic attraction connection mode, the inner wall of the lower support half shell 10 is provided with a bionic choroid 21, the bionic choroid 21 is provided with a bionic retina 22, the bionic retina 22 can be used in a plurality of replacement modes, different pathological structures can be arranged on the bionic retina 22, the inner wall of the lower support half shell 10 is fixedly provided with a choroid fixed matching ring 101 and a retina fixed matching ring 102 close to the edge, the retina fixed matching ring 102 is located above the choroid fixed matching ring 101, as shown in fig. 3, the edge of the bionic choroid 21 is fixedly provided with a choroid magnetic attraction fixing ring 211, the edge of the bionic retina 22 is fixedly provided with a retina magnetic attraction fixing ring 221, the choroid magnetic attraction fixing ring 211 is in magnetic attraction fixing matching with the choroid fixed matching ring 101, the retina magnetic attraction fixing ring 221 is in magnetic attraction fixing matching with the retina fixed matching ring 102, the bionic choroid 21 and the retina 22 are made of flexible bionic materials, the bionic choroid 21 is provided with bionic blood vessels, and the retina 22 is provided with blood vessels;
an upper half-shell bionic choroid 17 is attached to the inner wall of the upper support half-shell 11, an upper half-shell bionic retina 18 is attached to the upper half-shell bionic choroid 17, a bionic blood vessel is arranged on the upper half-shell bionic choroid 17, and a bionic blood vessel is arranged on the upper half-shell bionic retina 18;
as shown in fig. 5, the bionic retina 22 is provided with a lesion replacement hole 222, a lesion retina 40 is detachably bonded in the lesion replacement hole 222, the lesion retina 40 is peeled and arched from the bionic choroid 21, and the lesion retina 40 is provided with a lesion perforation 401;
as shown in fig. 6, another bionic retina 22 has a macular degeneration area 223 therein, the macular degeneration area 223 has a macular hole 2231, and the edge of the macular hole 2231 is tilted upward.
As shown in fig. 7, a macular membrane 41 is detachably adhered to the inside of the other bionic retina 22.
As shown in fig. 8, another bionic retina 22 has a diabetic retinopathy replacement hole 224 therein, a microaneurysm replacement membrane 42, a bleeding spot replacement membrane 43, a hard exudation replacement membrane 44, a velveteen spot replacement membrane 45, a venous bead replacement membrane 46 and an intraretinal microvascular abnormality replacement membrane 47 are detachably bonded in the diabetic retinopathy replacement hole 224, and a ring of lesion proliferation membrane 2241 is attached to the diabetic retinopathy replacement hole 224.
As shown in fig. 1, the fixed support column 31 that is equipped with two upwards extensions of base 30 top bilateral symmetry, the position that support column 31 is close to the top has rotatory through-hole 32, rotatory through-hole 32 normal running fit is equipped with back shaft 33, back shaft 33 with half 10 fixed connection of under bracing, the fixed balancing weight 301 that is equipped with in base 30 bottom, base 30 top is equipped with can wrap up the dust-proof housing 34 of half 10 of under bracing and the half 11 of last support.
Example 2:
the simplified simulation platform for ophthalmic vitreoretinal surgery, as shown in fig. 1, comprises a lower support half shell 10 with an upward opening, and an upper support half shell 11 with a downward opening, wherein the upper support half shell 11 is made of hard transparent material, the upper support half shell 11 is screwed on the top of the lower support half shell 10, and a base 30 is arranged below the lower support half shell 10;
as shown in fig. 1, the top of the upper supporting half shell 11 has a through hole 111, an eye cornea shell 12 with a downward opening is fixed on the outer side wall of the upper supporting half shell 11 at the through hole 111, a hollow capsule shell 13 is fixed on the inner wall of the upper supporting half shell 11 at the through hole 111 in a bonding manner, the top of the capsule shell 13 has a pupil scattering simulation hole 134, a pupil shell 130 is detachably bonded in the pupil scattering simulation hole 134, a pupil through hole 131 is formed on the top of the pupil shell 130, the capsule shell 13 is made of a flexible bionic rubber material, and the eye cornea shell 12 is made of a transparent material;
the bottom of the capsule-shaped shell 13 is provided with a crystalline lens through hole 132, the inner wall of the capsule-shaped shell 13 with the pupil through hole 131 is provided with a bionic film 133 in an attaching mode, the top of the capsule-shaped shell 13 is provided with a bionic iris 135 in a bonding mode, and a crystalline lens 14 is placed in the capsule-shaped shell 13;
the cornea shell 12 of the eye is provided with a cornea main cut through hole 121 and a cornea side cut through hole 122 near the edge, and the angle between the cornea main cut through hole 121 and the cornea side cut through hole 122 is 90 degrees;
as shown in fig. 2, the upper support half shell 11 has a plurality of operation through holes 112 thereon, as shown in fig. 1, an upper sclera half shell 23 is magnetically attracted to the outer side wall of the upper support half shell 11, a sclera operation through hole 231 is arranged at the position corresponding to the operation through hole 112 of the upper sclera half shell 23, a detachable cap 15 is arranged in the sclera operation through hole 231 in a fastening manner, a puncture through hole 151 is arranged on the cap 15, and a rubber plug 16 is arranged in the puncture through hole 151 in a fastening manner;
the outer side wall of the lower support half-shell 10 is provided with a lower sclera half-shell 20 in a magnetic attraction connection manner, the inner wall of the lower support half-shell 10 is provided with a bionic choroid 21, the bionic choroid 21 is provided with a bionic retina 22, the bionic retina 22 can be used in a plurality of replacements, different pathological structures can be arranged on the bionic retina 22, the inner wall of the lower support half-shell 10 is fixedly provided with a choroid fixed matching ring 101 and a retina fixed matching ring 102 near the edge, the retina fixed matching ring 102 is positioned above the choroid fixed matching ring 101, as shown in fig. 3, the edge of the bionic choroid 21 is fixedly provided with a choroid magnetic attraction fixing ring 211, the edge of the bionic retina 22 is fixedly provided with a retina magnetic attraction fixing ring 221, the choroid magnetic attraction fixing ring 211 is fixedly matched with the choroid fixed matching ring 101 in a magnetic attraction manner, the retina magnetic attraction fixing ring 221 is fixedly matched with the retina fixed matching ring 102 in a magnetic manner, the bionic choroid 21 and the retina 22 are made of flexible bionic materials, a bionic choroid 21 is provided with a bionic blood vessel, and the retina 22 is provided with a blood vessel;
an upper half-shell bionic choroid 17 is attached to the inner wall of the upper supporting half-shell 11, an upper half-shell bionic retina 18 is attached to the upper half-shell bionic choroid 17, bionic blood vessels are arranged on the upper half-shell bionic choroid 17, and the bionic blood vessels are arranged on the upper half-shell bionic retina 18;
as shown in fig. 5, the bionic retina 22 is provided with a lesion replacement hole 222, the lesion replacement hole 222 is detachably adhered with a diseased retina 40, the diseased retina 40 is stripped and arched from the bionic choroid 21, and the diseased retina 40 is provided with a lesion perforation 401;
as shown in fig. 6, another bionic retina 22 has a macular degeneration area 223 therein, the macular degeneration area 223 has a macular hole 2231, and the edge of the macular hole 2231 is tilted upward.
As shown in fig. 7, a macular membrane 41 is detachably adhered to the inside of the other bionic retina 22.
As shown in fig. 8, another bionic retina 22 has a diabetic retinopathy replacement hole 224 therein, a microaneurysm replacement membrane 42, a bleeding spot replacement membrane 43, a hard exudation replacement membrane 44, a velveteen spot replacement membrane 45, a venous bead replacement membrane 46 and an intraretinal microvascular abnormality replacement membrane 47 are detachably bonded in the diabetic retinopathy replacement hole 224, and a ring of lesion proliferation membrane 2241 is attached to the diabetic retinopathy replacement hole 224.
As shown in fig. 1, the fixed support column 31 that upwards extends that is equipped with of base 30 top bilateral symmetry, the position that support column 31 is close to the top has rotatory through-hole 32, rotatory through-hole 32 internal rotation fit is equipped with back shaft 33, back shaft 33 with half 10 fixed connection of under bracing, the fixed balancing weight 301 that is equipped with in base 30 bottom, the base 30 top is equipped with the dust cover 34 that can wrap up half 10 of under bracing and the half 11 of upper support.
As shown in fig. 1-17, the device comprises matched surgical equipment, wherein the matched surgical equipment comprises a sclera puncture knife model 51, a vitreous cutter model 52, an infusion tube model 53, an intraocular illumination light guide optical fiber model 54, an intraocular laser model 55, an intraocular membrane stripping forceps model 56, a plano-concave lens model 57, an oblique concave lens model 58, a biconcave lens model 59, an artificial lens model 61, a cornea main incision knife model 62, a cornea side incision knife model 63, a capsulorhexis forceps model 64, an iris restorer model 65, a nucleus splitter model 66, an ultrasonic emulsification suction device model 67 and an infusion suction device model 68;
as shown in fig. 9, the scleral puncture knife model 51 includes a scleral puncture knife handle 511, a scleral puncture needle tip 512 is fixedly disposed at one end of the scleral puncture knife handle 511, and a scleral puncture cannula 513 is slidably disposed on the scleral puncture needle tip 512;
as shown in fig. 10, the vitreous cutter model 52 includes a vitreous cutter handle 521, one end of the vitreous cutter handle 521 is fixedly provided with a vitreous cutter needle tube 522, and the other end of the vitreous cutter handle 521 is provided with a first hose connector 523 and a second hose connector 524;
as shown in fig. 11, the perfusion tube model 53 includes a perfusion head 531, one end of the perfusion head 531 is fixedly provided with a perfusion small tube 532, and the other end of the perfusion head 531 is fixedly connected with a perfusion hose 533;
as shown in fig. 12, the intraocular illumination light guide optical fiber model 54 includes an illumination handle 541, a hollow metal thin tube 542 is fixedly provided at one end of the illumination handle 541, a light guide optical fiber 543 is fixedly provided at the other end of the illumination handle 541, and an optical fiber in the light guide optical fiber 543 penetrates into the metal thin tube 542;
as shown in fig. 13, the intraocular laser model 55 comprises an intraocular laser handle 551, one end of the intraocular laser handle 551 is fixedly provided with a hollow laser accommodating metal thin tube 552, the other end of the intraocular laser handle 551 is fixedly provided with a laser fiber 553, and the fiber in the laser fiber 553 penetrates into the laser accommodating metal thin tube 552;
as shown in fig. 14, the model 56 of the intraocular membrane peeling forceps comprises a handle 561 of the intraocular membrane peeling forceps, one end of the handle 561 of the intraocular membrane peeling forceps is fixedly provided with a hollow membrane peeling forceps accommodating thin tube 562, and the membrane peeling forceps accommodating thin tube 562 is internally provided with a telescopic membrane peeling forceps 563;
as shown in fig. 15, one end of the plano-concave lens model 57 is a plane, and the other end has a concave surface, and the concave end of the plano-concave lens model 57 just can be in contact fit with the corneal shell 12;
as shown in fig. 16, one end of the oblique concave lens model 58 is an oblique plane, and the other end has a concave surface;
as shown in fig. 17, both ends of the biconcave lens model 59 are concave;
as shown in fig. 18, the intraocular lens model 61 comprises an intraocular lens main body 611, and supporting tabs 612 are fixed on the side ends of the intraocular lens main body 611 in a centrosymmetric manner;
the cornea main incision knife model 62 comprises a cornea main incision knife handle 621, and a cornea main incision knife blade 622 is fixed at the top end of the main incision knife handle 621;
the corneal side incision knife model 63 includes a corneal side incision knife handle 631, and a corneal side incision knife blade 632 is fixed to the top of the corneal side incision knife handle 631; the tool tip of the corneal side incision blade 632 forms an angle of 15 degrees;
the capsulorhexis forceps model 64 comprises a capsulorhexis forceps body 641, the top of the capsulorhexis forceps body 641 is an elongated capsulorhexis forceps tip 642, and the tip of the capsulorhexis forceps tip 642 is provided with an upward pointed protrusion;
the iris restorer model 65 comprises an iris restorer handle 651, and a metal straight and narrow thin sheet 652 is obliquely fixed on the top of the iris restorer handle 651;
the nucleus splitting device model 66 comprises a nucleus splitting device handle 661, a nucleus splitting hook 662 is fixed at the top of the nucleus splitting device handle 661, and the tip of the nucleus splitting hook 662 is bent upwards;
the phacoemulsification remover model 67 comprises a phacoemulsification remover handle 671, a phacoemulsification removal pipe 672 is fixed at the top end of the phacoemulsification remover handle 671, and a ultrasonic energy tube 673, an irrigation pipe 674 and a suction pipe 675 are fixed at the lower end of the phacoemulsification remover handle 671;
the perfusion aspirator model 68 comprises a perfusion aspirator handle 681, a perfusion aspirator tube 682 is fixed at the top end of the perfusion aspirator handle 681, the top of the perfusion aspirator tube 682 is in a round blunt shape, a perfusion aspirator tube aperture perpendicular to the axial extension of the perfusion aspirator tube 682 is arranged at the position, close to the top, of the perfusion aspirator tube 682, a suction pipeline 683 is fixedly arranged at the bottom of the perfusion aspirator handle 681, and a perfusion pipeline 684 is arranged in the bottom of the perfusion aspirator handle 681.
In the practical application process, the cataract surgery process is simulated, the pupil is simulated to be in a scattered state through the pupil scattering simulation hole 134, the cornea main incision knife model 62 is firstly used for simulating that the cornea main incision through hole 121 is cut at the cornea during the surgery, the cornea side incision knife model 63 is used for simulating that the cornea side incision through hole 122 is cut at the cornea, the capsulorhexis forceps model 64 and the iris recovery period model 65 respectively extend into the cornea main incision through hole 121 and the cornea side incision through hole 122, the bionic membrane 133 is torn off in the process of simulating capsulorhexis, the phacoemulsification suction device model 67 and the nucleus splitter model 66 respectively extend into the cornea main incision through hole 121 and the cornea side incision through hole 122, the capsulorhexis suction device model 67 and the nucleus splitter model are matched for simulating to break up the diseased crystalline lens 14 into a plurality of fragments, the emulsified crystalline lens 14 fragments are sucked out by the phacoemulsification device model 67, the residual crystalline lens 14 is sucked out by the perfusion suction device model 68, and finally the artificial lens model is implanted 61 into the shell 13.
When the vitreoretinal surgery process is simulated, the pupil is simulated to be in a dilated state through the pupil dilation simulation hole 134, the crystalline lens 14 in the capsule shell 13 can be taken out to simulate the aphakic eye state, and the transparent crystalline lens 14 in the capsule shell 13 can also be kept to simulate the phakic eye state of a normal person. Three scleral puncture blade models 51 are used to simulate a scleral puncture through the three scleral surgical apertures 231 of the upper support housing half 11, leaving three scleral puncture cannulas 513 in place through the scleral surgical apertures 231. The perfusion tubules 532 of the perfusion tube model 53 model are inserted into a scleral puncture cannula 513 to simulate intraoperative intraocular perfusion. The plano-concave lens model 57 is placed in the corneal shell 12 to simulate the observation of the fundus through the lens, and the oblique concave lens model 58 or the biconcave lens model 59 may be selected instead according to different needs. The vitreous cutter model 52 and the intraocular illumination light guide fiber model 54 are held by both hands respectively, the metal thin tube 542 of the intraocular illumination light guide fiber model 54 is inserted into the other sclera puncture cannula 513 to simulate the intra-operative illumination, and the vitreous cutter needle tube 522 of the vitreous cutter model 52 is inserted into the last sclera puncture cannula 513 to simulate the vitreous cutting operation. The metal tubule 552 of the intraocular laser model 55 may be inserted into the sclera puncture cannula 513 to simulate the intraocular laser surgery or the accommodating tubule 562 of the intraocular membrane peeling forceps model 56 may be inserted into the sclera puncture cannula 513 to simulate the process of peeling off the proliferation membranes, depending on the simulated surgical needs. The above-mentioned operation process can be variously combined and adjusted according to different vitreoretinal diseases, so that the vitreoretinal operation process for treating various diseases such as retinal detachment, epimacular membrane, macular hole, diabetic retinopathy and the like can be simulated by replacing the bionic retina 22 representing different vitreoretinal diseases.

Claims (6)

1. The simplified simulation platform for the ophthalmic vitreoretinal surgery is characterized by comprising a lower support half shell (10) with an upward opening, an upper support half shell (11) with a downward opening and surgical equipment, wherein the upper support half shell (11) is in threaded connection with the top of the lower support half shell (10), and a base (30) is arranged below the lower support half shell (10);
the top of the upper supporting half shell (11) is provided with a through hole (111), the outer side wall of the upper supporting half shell (11) at the through hole (111) is fixedly provided with an eye cornea shell (12) with a downward opening, the inner wall of the upper supporting half shell (11) at the through hole (111) is fixedly bonded with a hollow capsule-shaped shell (13), the top of the capsule-shaped shell (13) is provided with a mydriasis simulation hole (134), a pupil shell (130) is detachably bonded in the mydriasis simulation hole (134), and the top of the pupil shell (130) is provided with a pupil through hole (131);
the bottom of the capsule-shaped shell (13) is provided with a crystalline lens through hole (132), the inner wall of the capsule-shaped shell (13) with the pupil through hole (131) is provided with a bionic film (133) in a bonding manner, the top of the capsule-shaped shell (13) is provided with a bionic iris (135) in a bonding manner, and a crystalline lens (14) is placed in the capsule-shaped shell (13);
the cornea shell (12) is provided with a main cornea incision through hole (121) and a side cornea incision through hole (122) close to the edge, and the angle range between the main cornea incision through hole (121) and the side cornea incision through hole (122) is 70-120 degrees;
the upper supporting half shell (11) is provided with a plurality of operation through holes (112), the outer side wall of the upper supporting half shell (11) is provided with an upper sclera half shell (23) in a magnetic attraction connection mode, the positions, corresponding to the operation through holes (112), of the upper sclera half shell (23) are provided with sclera operation through holes (231), a detachable sleeve cap (15) is fixedly installed in the sclera operation through holes (231), and the sleeve cap (15) is provided with a puncture through hole (151);
the outer side wall of the lower supporting half shell (10) is provided with a lower sclera half shell (20) in a magnetic attraction connection mode, the inner wall of the lower supporting half shell (10) is provided with a bionic choroid (21), the bionic choroid (22) is arranged on the bionic choroid (21), the bionic retina (22) can be replaced by a plurality of parts, different pathological structures can be arranged on the bionic retina (22), the inner wall of the lower supporting half shell (10) is close to the edge and is fixedly provided with a choroid fixed matching ring (101) and a retina fixed matching ring (102), the retina fixed matching ring (102) is located above the choroid fixed matching ring (101), the edge of the bionic choroid (21) is fixedly provided with a choroid magnetic attraction fixing ring (211), the edge of the bionic retina (22) is fixedly provided with a retina magnetic attraction fixing ring (221), the choroid magnetic attraction fixing ring (211) is in magnetic attraction fixing matching with the choroid fixed matching ring (101), and the retina magnetic attraction fixing ring (221) is fixedly matched with the retina fixed matching ring (102);
a bionic blood vessel is arranged in the bionic choroid (21), and a bionic blood vessel is arranged in the bionic retina (22);
an upper half-shell bionic choroid (17) is attached to the inner wall of the upper supporting half-shell (11), an upper half-shell bionic retina (18) is attached to the upper half-shell bionic choroid (17), bionic blood vessels are arranged on the upper half-shell bionic choroid (17), and the bionic blood vessels are arranged on the upper half-shell bionic retina (18);
the bionic retina (22) is provided with a lesion replacement hole (222), a lesion retina (40) is detachably bonded in the lesion replacement hole (222), the lesion retina (40) is peeled and arched from the bionic choroid (21), and the lesion retina (40) is provided with a lesion perforation (401);
a macular degeneration area (223) is arranged in the bionic retina (22) in a transformation mode, the macular degeneration area (223) is provided with a macular hole (2231), and the edge of the macular hole (2231) tilts upwards; an anterior macular membrane (41) is detachably bonded in the bionic retina (22);
a diabetic retinopathy replacing hole (224) is formed in the bionic retina (22) in a transformation mode, a microaneurysm replacing membrane (42), a bleeding spot replacing membrane (43), a hard exudation replacing membrane (44), a cotton velvet spot replacing membrane (45), a vein bead replacing membrane (46) and an intraretinal microvascular abnormality replacing membrane (47) are detachably bonded in the diabetic retinopathy replacing hole (224), and a circle of pathological change proliferating membrane (2241) is attached to the position of the diabetic retinopathy replacing hole (224);
the top of the base (30) is bilaterally symmetrically and fixedly provided with two supporting columns (31) extending upwards, the positions, close to the top, of the supporting columns (31) are provided with rotating through holes (32), supporting shafts (33) are arranged in the rotating through holes (32) in a rotating matching mode, and the supporting shafts (33) are fixedly connected with the lower supporting half shell (10);
the surgical equipment comprises a sclera puncture knife model (51), a vitreous cutter model (52), an infusion tube model (53), an intraocular illumination light guide optical fiber model (54), an intraocular laser model (55), an intraocular membrane stripping forceps model (56), a plano-concave lens model (57), an oblique concave lens model (58), a biconcave lens model (59), an artificial lens model (61), a cornea main incision knife model (62), a cornea side incision knife model (63), a capsulorhexis forceps model (64), an iris restorer model (65), a nucleus cleaving device model (66), an ultrasonic emulsification suction device model (67) and an infusion suction device model (68);
the sclera puncture knife model (51) comprises a sclera puncture knife handle (511), one end of the sclera puncture knife handle (511) is fixedly provided with a sclera puncture needle point (512), and the sclera puncture needle point (512) is provided with a sclera puncture sleeve (513) in a sliding fit manner;
the vitreous cutter model (52) comprises a vitreous cutter handle (521), one end of the vitreous cutter handle (521) is fixedly provided with a vitreous cutter needle tube (522), and the other end of the vitreous cutter handle (521) is provided with a hose connector I (523) and a hose connector II (524);
the perfusion tube model (53) comprises a perfusion head (531), one end of the perfusion head (531) is fixedly provided with a perfusion small tube (532), and the other end of the perfusion head (531) is fixedly connected with a perfusion hose (533);
the intraocular illumination light guide optical fiber model (54) comprises an illumination handle (541), wherein a hollow metal thin tube (542) is fixedly arranged at one end of the illumination handle (541), a light guide optical fiber (543) is fixedly arranged at the other end of the illumination handle (541), and an optical fiber in the light guide optical fiber (543) penetrates into the metal thin tube (542);
the intraocular laser model (55) comprises an intraocular laser handle (551), one end of the intraocular laser handle (551) is fixedly provided with a hollow laser containing metal thin tube (552), the other end of the intraocular laser handle (551) is fixedly provided with a laser fiber (553), and the fiber in the laser fiber (553) penetrates into the laser containing metal thin tube (552);
the model (56) of the intraocular membrane peeling forceps comprises a handle (561) of the intraocular membrane peeling forceps, one end of the handle (561) of the intraocular membrane peeling forceps is fixedly provided with a hollow membrane peeling forceps accommodating thin tube (562), and the membrane peeling forceps accommodating thin tube (562) is internally provided with telescopic membrane peeling forceps (563);
one end of the plano-concave lens model (57) is a plane, the other end of the plano-concave lens model is provided with a concave surface, and the end, provided with the concave surface, of the plano-concave lens model (57) can be just in contact fit with the cornea shell (12);
one end of the inclined concave lens model (58) is an inclined plane, and the other end of the inclined concave lens model is provided with a concave surface;
both ends of the biconcave lens model (59) are concave surfaces;
the artificial lens model (61) comprises an artificial lens main body (611), and supporting loops (612) are fixedly arranged at the side end of the artificial lens main body (611) in a centrosymmetric manner;
the cornea main incision knife model (62) comprises a cornea main incision knife handle (621), and a cornea main incision knife blade (622) is fixed at the top end of the main incision knife handle (621);
the cornea side incision knife model (63) comprises a cornea side incision knife handle (631), and a cornea side incision knife blade (632) is fixed on the top of the cornea side incision knife handle (631); the knife tip of the cornea side incision blade (632) forms an angle of 15 degrees;
the capsulorhexis forceps model (64) comprises a capsulorhexis forceps main body (641), the top of the capsulorhexis forceps main body (641) is an elongated capsulorhexis forceps tip (642), and the tip of the capsulorhexis forceps tip (642) is provided with an upward pointed bulge;
the iris restorer model (65) comprises an iris restorer handle (651), and a metal straight and narrow thin sheet (652) is obliquely fixed on the top of the iris restorer handle (651);
the nucleus splitting device model (66) comprises a nucleus splitting device handle (661), a nucleus splitting hook (662) is fixed at the top of the nucleus splitting device handle (661), and the tip of the nucleus splitting hook (662) is bent upwards;
the ultrasonic emulsification aspirator model (67) comprises an ultrasonic emulsification aspirator handle (671), an ultrasonic emulsification aspirator tube (672) is fixed at the top end of the ultrasonic emulsification aspirator handle (671), and an ultrasonic energy tube (673), a water irrigation tube (674) and a suction tube (675) are fixed at the lower end of the ultrasonic emulsification aspirator handle (671);
fill aspirator model (68) including filling aspirator handle (681), fill aspirator handle (681) top and be fixed with and fill and attract pipe (682), fill and attract pipe (682) top for round blunt shape, fill and attract pipe (682) position near the top to have perpendicular to its own axial extension fill and attract pipe aperture, fill fixed suction pipe (683) that is equipped with in aspirator handle (681) bottom, it has filling pipe (684) in aspirator handle (681) bottom to fill.
2. The ophthalmic vitreoretinal surgery simplified simulation platform of claim 1, wherein: the upper supporting half shell (11) is made of hard transparent materials.
3. The ophthalmic vitreoretinal surgery simplified simulation platform of claim 1, wherein: base (30) bottom is fixed and is equipped with balancing weight (301), base (30) top is equipped with dust-proof housing (34) that can wrap up the lower support half shell (10) and go up support half shell (11).
4. The ophthalmic vitreoretinal surgery simplified simulation platform of claim 1, wherein: the bionic choroid (21) and the bionic retina (22) are made of flexible bionic materials.
5. The ophthalmic vitreoretinal surgery simplified simulation platform of claim 1, wherein: the saccular shell (13) is made of a flexible bionic rubber material, and the cornea shell (12) is made of a transparent material.
6. The ophthalmic vitreoretinal surgery simplified simulation platform of claim 1, wherein: a rubber plug (16) is tightly matched and arranged in the puncture through hole (151).
CN202110105803.3A 2021-01-26 2021-01-26 Simplified simulation platform for ophthalmic vitreoretinal surgery Active CN112951057B (en)

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