Coppola Michele, Rabiolo Alessandro, Cicinelli Maria Vittoria, Querques Giuseppe, Bandello Francesco
Ophthalmology Unit, Azienda Ospedaliera di Desio e Vimercate, Desio, Italy.
Department of Ophthalmology, University Vita-Salute, IRCCS Ospedale San Raffaele, Via Olgettina 60, 20132 Milan, Italy.
Int J Retina Vitreous. 2017 Oct 2;3:37. doi: 10.1186/s40942-017-0090-y. eCollection 2017.
Pathologic myopia is associated with degenerative changes of the globe, especially at the posterior pole. Eyes affected by pathologic myopia have higher odds to undergo posterior segment surgery and, in those eyes, vitreoretinal surgery is challenging. Many practical tips and tricks can make the surgical procedures simpler, significantly preventing sight-threatening intra- and post-operative complications. Moreover, novel surgical techniques and technological advancements (i.e. ad-hoc instrumentation, minimally invasive vitreoretinal surgery, filters, dye staining, intraoperative optical coherence tomography and 3-dimensional surgery) may play role in highly myopic eyes. The aim of the present work is to review practical tips and tricks, novel surgical techniques and technological advancements.
病理性近视与眼球的退行性改变有关，尤其是在眼球后极部。受病理性近视影响的眼睛接受眼后段手术的几率更高，而在这些眼睛中，玻璃体视网膜手术具有挑战性。许多实用的技巧和窍门可以使手术过程更简单，显著预防威胁视力的术中及术后并发症。此外，新颖的手术技术和技术进步（即专用器械、微创玻璃体视网膜手术、滤器、染料染色、术中光学相干断层扫描和三维手术）可能在高度近视眼中发挥作用。本研究的目的是综述实用的技巧和窍门、新颖的手术技术以及技术进步。
