Purchase this article with an account.
M. Mura, M. D. de Smet; Endoscopic Retinal Detachment Repair in Patients With Media Opacities. Invest. Ophthalmol. Vis. Sci. 2007;48(13):5763.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
Evaluate the use of an ophthalmic endoscope in patients with a retinal detachment and anterior media opacity.
A retrospective interventional case series. Search of a database of retinal detachment patients with pre-operatively impaired anterior segments such that lens extraction or a keratoprosthesis was required for adequate repair. Pars plana vitrectomy was carried out with an endoscope without manipulation of the anterior segment. Characteristics of the detachment were recorded, as were complications/subsequent surgeries, pre-operative, 3 month post op, and final follow-up visual acuities.
Prior to surgery, 5 patients had a gas induced cataract after a failed pneumatic retinopexy; 1 patient had a Reis buckler’s dystrophy and corneal ulcer; three patients had synechiae around iris fixed lenses. One patient had PVR. The median pre-operative vision was hand motion (20/30 to light perception). The median final visual acuity was 20/30 (20/20 to 20/200). Two patients required a subsequent lens extraction, one patient had a recurrent detachment.
In appropriate retinal detachment patients, endoscopy can be safe and effective, while limiting the scope of the surgical intervention.
This PDF is available to Subscribers Only