Endoscope-assisted scleral buckle procedure

International Journal of Retina and Vitreous

Andrew J. Barkmeier¹  Sean M. Platt² 

[1] Department of Ophthalmology, Mayo Clinic, 200 First St. SW, 55905, Rochester, MN, USA;Department of Ophthalmology, Mayo Clinic, 200 First St. SW, 55905, Rochester, MN, USA;Retina Associates of Cleveland, Inc., Cleveland, OH, USA;

关键词: Endoscope;    Scleral buckle;    Retinal detachment;    Peters' anomaly;   

DOI  :  10.1186/s40942-020-00260-x

来源: Springer

【 摘 要 】

BackgroundRetinal reattachment surgery requires clear visualization of the posterior segment for optimal outcomes. Select patients may benefit most from primary scleral buckling without vitrectomy, but lack adequate posterior segment ophthalmoscopic visualization to use standard techniques.Case presentationThe authors describe a retinal reattachment technique utilizing endoscope-assisted visualization to perform a primary scleral buckle procedure for a 34yo female with Peters’ Anomaly and a macula-sparing retinal detachment. Retinal reattachment was achieved with a single procedure and she remained stable with preservation of baseline visual acuity at 30 months follow-up.ConclusionIn cases where a primary scleral buckle procedure is the preferred retinal detachment repair technique but posterior segment visualization is limited, intraoperative fundus examination, cryotherapy administration, and scleral buckle positioning can be facilitated with intraocular endoscopy.

【 授权许可】

CC BY