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Endoscope-assisted vitrectomy

Endoscope-assisted vitrectomy
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摘要 Ocular endoscopes enable ophthalmologists to observe any part of the retina without any limitations, including those caused by corneal opacities, the rim of the intraocular lens, cortical remnants, capsular opacities, a small pupil, and vitreous opacities. Moreover, ocular endoscopes enable the management of peripheral lesions without scleral indentation and are compatible with microincision vitrectomy surgery. The enlarged view under the endoscope, as obtained by drawing towards the lesion, appears to be another advantage. Rhegmatogenous retinal detachment with undetectable retinal breaks, trauma, endophthalmitis, scleral wounds with incarceration of the vitreous, and microcornea are indications for endoscopic vitrectomy. The combination of endoscopy and a wide-angle viewing system could compensate for the deficiencies of each technique and achieve more effective and safer surgical maneuvers. Endoscopy skills appear to be a great advantage for vitreoretinal surgeons;however, because endoscopies require a learning curve, becoming familiar with the handling of the endoscope through stepby-step learning is necessary. Ocular endoscopes enable ophthalmologists to observe any part of the retina without any limitations, includ-ing those caused by corneal opacities, the rim of the intraocular lens, cortical remnants, capsular opacities, a small pupil, and vitreous opacities. Moreover, ocular en-doscopes enable the management of peripheral lesions without scleral indentation and are compatible with mi-croincision vitrectomy surgery. The enlarged view under the endoscope, as obtained by drawing towards the le-sion, appears to be another advantage. Rhegmatogenous retinal detachment with undetectable retinal breaks, trau-ma, endophthalmitis, scleral wounds with incarceration of the vitreous, and microcornea are indications for en-doscopic vitrectomy. The combination of endoscopy and a wide-angle viewing system could compensate for the defciencies of each technique and achieve more effective and safer surgical maneuvers. Endoscopy skills appear to be a great advantage for vitreoretinal surgeons; however, because endoscopies require a learning curve, becoming familiar with the handling of the endoscope through step-by-step learning is necessary.
作者 Mihori Kita
出处 《World Journal of Ophthalmology》 2014年第3期52-55,共4页 世界眼科杂志
关键词 Ocular endoscope VITRECTOMY RETINA Microincision vitrectomy surgery Retinal detachment Ocular endoscope Vitrectomy Retina Microincision vitrectomy surgery Retinal detachment
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