Platt Sean M, Barkmeier Andrew J
Department of Ophthalmology, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.
Retina Associates of Cleveland, Inc., Cleveland, OH, USA.
Int J Retina Vitreous. 2020 Nov 11;6(1):52. doi: 10.1186/s40942-020-00260-x.
Retinal reattachment surgery requires clear visualization of the posterior segment for optimal outcomes. Select patients may benefit most from primary scleral buckling without vitrectomy, but lack adequate posterior segment ophthalmoscopic visualization to use standard techniques.
The authors describe a retinal reattachment technique utilizing endoscope-assisted visualization to perform a primary scleral buckle procedure for a 34yo female with Peters' Anomaly and a macula-sparing retinal detachment. Retinal reattachment was achieved with a single procedure and she remained stable with preservation of baseline visual acuity at 30 months follow-up.
In cases where a primary scleral buckle procedure is the preferred retinal detachment repair technique but posterior segment visualization is limited, intraoperative fundus examination, cryotherapy administration, and scleral buckle positioning can be facilitated with intraocular endoscopy.
视网膜复位手术需要清晰观察眼后段以获得最佳效果。部分患者可能从单纯巩膜扣带术而非玻璃体切除术获益最大，但缺乏足够的眼后段检眼镜观察来使用标准技术。
作者描述了一种视网膜复位技术，利用内镜辅助观察，为一名患有彼得斯异常和黄斑保留性视网膜脱离的34岁女性进行单纯巩膜扣带术。通过单次手术实现了视网膜复位，在30个月的随访中，她保持稳定，基线视力得以保留。
在单纯巩膜扣带术是首选的视网膜脱离修复技术但眼后段观察受限的情况下，眼内内镜可便于术中眼底检查、冷冻疗法的实施以及巩膜扣带的定位。
