Applications of Endoscopy in Vitreoretinal Surgery

Endoscopy-Assisted Vitrectomy and Membrane Dissection of Anterior Proliferative Vitreoretinopathy for Chronic Hypotony After Previous Retinal Detachment Repair

“…6 Endoscopy-assisted vitreoretinal surgery has been described in cases of eyes with RDs and anterior segment opacities, such as corneal blood staining or band keratopathy, hypotony, ocular trauma with penetrating or perforating injuries, intraocular foreign bodies, retained lens fragments or intraocular lens, complex RD with PVR, subretinal surgery, sulcus fixation of an intraocular lens, and endophthalmitis. [7][8][9][10][11][12][13][14][15][16][17][18][19][20] To the best of our knowledge, outcomes for endoscopy-assisted dissection of anterior PVR for the treatment of hypotony have not been previously reported. Herein, we report a series of patients with hypotony secondary to anterior PVR after previous RD repair who were treated using endoscopic visualization and dissection of anterior membranes.…”

Endoscope assisted enhanced internal search for iatrogenic retinal breaks in 20-gauge macular surgery

“…We have been using this endoscope for vitreoretinal surgery and have demonstrated its effectiveness in examining sclerotomy-related complications (eg, vitreous traction, retinal pull, retinal break). An endoscope enables a surgeon to view and simultaneously laser the break 2. One of the authors of the article, 1 Dr de Smet, is a well-known proponent of the ocular endoscope 3.…”

Cataract surgery assisted by anterior endoscopy

“…The majority of the uses of the endoscope in ophthalmology have been limited to vitreoretinal surgery 1 – 9. Recently, the ophthalmic micro-endoscope has been used in performing phacoemulsification in a case with corneal opacity;10 as an educational tool to teach cataract surgery;11 in assisting with continuous curvilinear capsulorhexis;12 to visualise the posterior surface of the cornea during deep anterior lamellar keratoplasty (DALK);13 in assessing the position of intraocular lens implants;14 for glaucoma surgery in a case with hazy cornea;15 and for photo-ablation of ciliary processes under direct visualisation in refractory glaucoma,16 17 and for scleral fixation of IOL 18 19.…”