Vitrectomy with endoscopy for management of retained lens fragments and/or posteriorly dislocated intraocular lens

Boscher, C; Da, Lebuisson; Lean, John S.; Nguyen-Khoa, J L

doi:10.1007/s004170050051

Cited by 48 publications

(19 citation statements)

References 24 publications

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“…12 Two important positional cues are lost; namely depth perception and shadows cast by instruments onto the retinal surface from eccentric incident light (in current endoscopes, the light and video ports are co-axial). Therefore, it is important that the retinal surface be approached slowly.…”

Section: Discussionmentioning

confidence: 99%

“…Ophthalmic endoscopy has been reported as a useful adjunct to vitreoretinal surgery for the management of proliferative vitreoretinopathy, neovascular glaucoma, removal of retained intraocular foreign bodies, endophthalmitis, subluxated intraocular lenses (IOL), proliferative diabetic retinopathy, and rhegmatogenous retinal detachments. [2][3][4][5][6][7][8][9][10][11][12] Successful repair of a retinal detachment requires the identification and handling of all tears. The chosen technique: vitrectomy, buckle, or combination depends as much on the surgeon's choice as on the characteristics of the retinal detachment and its visibility.…”

Section: Introductionmentioning

confidence: 99%

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Minimally invasive surgery—endoscopic retinal detachment repair in patients with media opacities

Smet

Mura

2007

Eye

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Purpose Evaluate the use of an ophthalmic endoscope in patients with a retinal detachment and anterior media opacity. Materials and methods A retrospective interventional case series. Search of a comprehensive database of retinal detachment patients with pre-operatively impaired anterior segments such that lens extraction, a keratoprosthesis, or extensive anterior segment manipulation was required for adequate repair. Pars plana vitrectomy was carried out with an endoscope without manipulation of the anterior segment. Characteristics of the detachment were recorded, as were complications/subsequent surgeries, pre-operative, 3-month post-operative, and final follow-up visual acuities. Results Before surgery, five patients had a gas-induced cataract after a failed pneumatic retinopexy; one patient had a Reis-Buckler's dystrophy and corneal ulcer; three patients had synechiae around iris-fixed lenses. One patient had proliferative vitreoretinopathy. The median pre-operative vision was hand motion (20/30 to light perception). The median final visual acuity was 20/30 (20/20-20/200). Two patients required a subsequent lens extraction, one patient had a recurrent detachment. Conclusion In appropriate retinal detachment patients, endoscopy can be safe and effective, while limiting the scope of the surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Minimally invasive surgery—endoscopic retinal detachment repair in patients with media opacities

Smet

Mura

2007

Eye

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“…Between 1994 and 2013, a library of video segments was progressively enlarged and a thorough review of surgical videotapes, operative reports, and simultaneous notes was conducted. With time, publications were made in the following indications: retinal detachment (RD) behind keratoprosthesis (1994) [26]; retained lens fragments and dislocated IOL (1998) [27]; trauma (1999, 2001, 2007) [28,29,30]; PDR (1999, 2004, 2013) [31,32]; endophthalmitis (2002, 2012) [33]; expulsive hemorrhage (2002) [34]; RD without indentation (2004) [35], and RD and anterior PVR (2001, 2014) [36,37]. …”

Section: Methodsmentioning

confidence: 99%

Endoscopic Evaluation and Dissection of the Anterior Vitreous Base

Boscher

Kuhn

2015

Ophthalmic Res

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The specific concept of pathological anterior vitreous base (AVB) and of its endoscopy-assisted dissection was elaborated during our 20 years' experience with endoscopy for observing the ‘in vivo' anatomy and pathoanatomy of the AVB, and for dissecting the anterior vitreous cortex in over 2,000 consecutive eyes. Endoscopy provides a 360° view of the entire vitreous cavity akin to the surgeon's eye being inside the operated eye. Evaluation of the capsulozonular complex, ciliary body, and AVB is not only independent of anterior media transparency, but unimpeded by scleral depression and magnified. High magnification dissection of the AVB gel can be conducted in an individualized and unmatched fashion.

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“…[1][2][3][4][5][6][7][8][9][10][11] Endoscope is reported to be of use in all the parts of eye e.g. in orbit, [12] nasolacrimal duct obstructions [13,14] glaucoma [15,16] and cataract surgery.…”

Section: Introductionmentioning

confidence: 99%

Ophthalmic endoscope: A novel diagnostic imaging tool

Raizada

Kandari

Sabti³

2017

IJDI

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The purpose of the study was to evaluate the feasibility of ophthalmic endoscope as a diagnostic tool. This was a prospective, non-comparative, interventional clinical study of 11 consecutive patients who underwent endoscopy-assisted management for ocular pathologies. We used a fused fiber-optic type of endoscope to visualize areas of the eye which were not seen clearly, due to media opacity, through conventional viewing systems like indirect ophthalmoscopy or wide angle viewing system. Eleven cases were enrolled in the study. Five patients underwent endoscopic examination of the fundus prior to penetrating keratoplasty (PKP) or keratoprosthesis. In one out of these 5 cases, PKP was differed due to pale optic nerve. Patient number 6, 7 & 8 were cases of recurrent vitreous hemorrhage. In these patients, endoscope was used to inspect the sclerotomy from inside and to remove incarcerated vitreous and fibro-vascular membrane. Patient number 9 was a case of poorly dilating pupil undergoing cataract surgery. Endoscope was used in this patient to locate the exact position of haptics of PCIOL. In cases 10 and 11, endoscope was used to localize ciliary sulcus and to document the position of haptics of sclera fixated IOL. Conclusion: The ophthalmic endoscope provides valuable information by illuminating, video recording, and by providing clear view of areas not visible by conventional viewing systems. It can help in management strategies in selected cases.

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Vitrectomy with endoscopy for management of retained lens fragments and/or posteriorly dislocated intraocular lens

Cited by 48 publications

References 24 publications

Minimally invasive surgery—endoscopic retinal detachment repair in patients with media opacities

Minimally invasive surgery—endoscopic retinal detachment repair in patients with media opacities

Endoscopic Evaluation and Dissection of the Anterior Vitreous Base

Ophthalmic endoscope: A novel diagnostic imaging tool

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