Skinner Cassandra C, Riemann Christopher D
University of Cincinnati School of Medicine, Cincinnati, Ohio.
Department of Ophthalmology, Cincinnati Eye Institute & University of Cincinnati School of Medicine, Cincinnati, Ohio.
Retin Cases Brief Rep. 2018;12(3):257-259. doi: 10.1097/ICB.0000000000000486.
To describe the surgical approach with a screen-based "heads up" digital viewing technology for the successful repair of a retinal detachment in a patient with severe kyphosis.
Case report.
An 89-year-old man with vision loss in the left eye from a macula-involving retinal detachment of 4 weeks was scheduled for pars plana vitrectomy and retinal detachment repair. The patient had severe thoracic kyphosis, causing a fixed spinal flexion that presented a significant challenge to traditional intraoperative positioning and management. Surgery was performed using the NGENUITY system for primary surgical viewing, the surgeon operating heads up, and the patient in Trendelenburg position. There were no intraoperative or postoperative complications. Visual acuity improved to 20/80 and the retina remained attached with 11 weeks of follow-up.
Heads up digitally assisted viewing technology may be useful or preferred for patients requiring vitreoretinal surgery in the setting of severe musculoskeletal limitations or other positioning challenges.
描述一种基于屏幕的“抬头”数字观看技术的手术方法，用于成功修复一名重度脊柱后凸患者的视网膜脱离。
病例报告。
一名89岁男性，因黄斑受累的视网膜脱离4周导致左眼视力丧失，计划行玻璃体切除术和平坦部视网膜脱离修复术。患者有严重的胸椎后凸，导致脊柱固定性屈曲，这给传统的术中定位和管理带来了重大挑战。手术使用NGENUITY系统进行初次手术观察，外科医生抬头操作，患者处于头低脚高位。无术中或术后并发症。随访11周时，视力提高到20/80，视网膜保持附着。
对于在严重肌肉骨骼限制或其他定位挑战情况下需要进行玻璃体视网膜手术的患者，抬头数字辅助观看技术可能有用或更受青睐。
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