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. 2020 Nov 11;6(1):52.
doi: 10.1186/s40942-020-00260-x.

Endoscope-assisted scleral buckle procedure

Sean M Platt  1   2 , Andrew J Barkmeier  3
Affiliations

Endoscope-assisted scleral buckle procedure

Sean M Platt et al. Int J Retina Vitreous. .

Abstract

Background: 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.

Case presentation: 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.

Conclusion: 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.

Keywords: Endoscope; Peters' anomaly; Retinal detachment; Scleral buckle.

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Conflict of interest statement

The authors declare that they have no competing interests.

References

    1. Wong SC, Lee TC, Heier JS, et al. Endoscopic vitrectomy. Curr Opin Ophthalmol. 2014;25:195–206. doi: 10.1097/ICU.0000000000000052. - DOI - PubMed
    1. Kita M, Yoshimura N. Endoscope-assisted vitrectomy in the management of pseudophakic and aphakic retinal detachments with undetected retinal breaks. Retina. 2011;31(7):1347–1351. doi: 10.1097/IAE.0b013e3182003c93. - DOI - PubMed
    1. Sabti KA, Raizada S. Endoscope-assisted pars plana vitrectomy in severe ocular trauma. Br J Ophthalmol. 2012;96(11):1399–1403. doi: 10.1136/bjophthalmol-2012-302187. - DOI - PubMed
    1. De Smet MD, Carlborg EA. Managing severe endophthalmitis with the use of an endoscope. Retina. 2005;25(8):976–980. doi: 10.1097/00006982-200512000-00004. - DOI - PubMed
    1. Olsen TW, Pribila JT. Pars plana vitrectomy with endoscope-guided sutured posterior chamber intraocular lens implantation in children and adults. Am J Ophthalmol. 2011;151:287e2–296e2. doi: 10.1016/j.ajo.2010.08.026. - DOI - PubMed

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