Department of Ophthalmology, Great Ormond Street Hospital for Children, London, England.
Children's Hospital Los Angeles, Los Angeles, California.
Asia Pac J Ophthalmol (Phila). 2018 May-Jun;7(3):200-207. doi: 10.22608/APO.2018154. Epub 2018 May 30.
Endoscopic vitrectomy is a useful and unique adjunct to microincision vitreoretinal surgery. The optical properties of endoscopy allow for some clinically advantageous approaches that are not possible with regular microscope viewing systems, namely, the ability to both bypass optically signficant anterior segment opacities and directly visualize dificult-to-access retroirideal, retrolental, and anterior retinal structures in their natural anatomical configuration. The surgical benefits include improved surgical access to the pars plana, pars plicata, ciliary sulcus, ciliary body, and peripheral lens, along with unique access to anterior traction in complex pediatric anterior detachments, particularly in retinopathy of prematurity. This review will focus on the development and surgical utility of intraocular endoscopy, provide an update on its current uses in the era of microincision vitreoretinal surgery, and highligh its role in pediatric vitreoretinal diseases.
经内镜玻璃体切除术是一种有用且独特的微创玻璃体视网膜手术辅助手段。内镜的光学特性允许采用一些通过常规显微镜观察系统无法实现的临床优势方法，即不仅能够绕过明显的前部混浊，还能够直接观察到难以到达的后玻璃体、视网膜后和前部视网膜结构，同时保持其自然解剖结构。手术优势包括改善对平坦部、普利卡斑、睫状沟、睫状体和周边晶状体的手术入路，以及在复杂的小儿前部脱离中获得独特的前向牵引，特别是在早产儿视网膜病变中。本综述将重点介绍眼内内镜的发展和手术应用，介绍其在微创玻璃体视网膜手术时代的最新应用，并强调其在小儿玻璃体视网膜疾病中的作用。
