Ricci Giuseppe D'Amico, Pinna Antonio, Boscia Francesco, Sborgia Giancarlo, Giancipoli Ermete
1 Department of Surgical, Microsurgical, and Medical Sciences, Section of Ophthalmology, University of Sassari, Sassari - Italy.
2 Department of Ophthalmology, Azienda Ospedaliero-Universitaria (AOU) di Sassari, Sassari - Italy.
Eur J Ophthalmol. 2018 May;28(3):344-346. doi: 10.5301/ejo.5001057. Epub 2017 Oct 16.
To show a new method to highlight posterior paravascular retinal breaks, responsible for posterior retinal detachment in highly myopic eyes, by gentle endodiathermy on the nearby retinal vessel, in areas of patchy chorioretinal atrophy.
A standard 25-gauge (25-G) 3-port pars plana vitrectomy with internal limiting membrane (ILM) peeling was performed. A gentle endodiathermy was applied on the vessel close to the retinal break until a clear withe spot became visible. This spot was used as a landmark to identify the retinal break after fluid-air exchange.
The retina was attached after a single operation and no retinal redetachment was reported. A complete blood flow restoration in the treated vessel was documented with fluorescein angiography after 5 days.
This simple technique may help the vitreoretinal surgeon to identify paravascular retinal breaks after fluid-air exchange. No damage to the retinal vessels undergoing endodiathermy was observed.
展示一种新方法，即在高度近视眼黄斑区脉络膜视网膜萎缩区域，通过对附近视网膜血管进行温和透热疗法，突出导致后部视网膜脱离的视网膜血管旁裂孔。
行标准的25G三通道玻璃体切割联合内界膜剥除术。对靠近视网膜裂孔的血管进行温和透热疗法，直至可见清晰的白色光斑。该光斑用作气液交换后识别视网膜裂孔的标志。
单次手术后视网膜复位，未报告视网膜再次脱离。5天后荧光素血管造影显示治疗的血管血流完全恢复。
这种简单技术可帮助玻璃体视网膜手术医生在气液交换后识别视网膜血管旁裂孔。未观察到透热疗法对视网膜血管造成损伤。
