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

Lee, Gregory D.; Goldberg, Roger A.; Heier, Jeffrey S.

doi:10.1097/iae.0000000000000838

Cited by 27 publications

(13 citation statements)

References 23 publications

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“…An ophthalmic endoscope has the potential to overcome the limitations of poor visualization. [ 9 – 11 ] It can enhance the visualization of the posterior segment, permitting direct assessment of retinal integrity and allowing the surgeon to perform vitrectomy safely and completely. It is also possible to handle postoperative complications such as dropped nuclei and foreign bodies more easily.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Bacillus cereus endophthalmitis with endoscopy-assisted vitrectomy

et al. 2017

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To evaluate the use of endoscopy-assisted vitrectomy in patients with sight-threatening Bacillus cereus endophthalmitis.A retrospective analysis was conducted in 15 eyes with Bacillus cereus endophthalmitis. Patients were divided into 2 groups: endoscopy-assisted vitrectomy (5 eyes) and conventional vitrectomy (10 eyes). The following clinical data were recorded and analyzed: sex, age, latent period, symptom duration, follow-up time, visual acuity pre- and postsurgery, recurrence of endophthalmitis, incidence of phithisis bulbi, and incidence of enucleation.In the conventional vitrectomy group, postoperative visual acuity ranged from no light perception in 5 patients (50%), light perception in 3 patients (30%), 20/1000 in 1 patient (10%), and 20/50 in 1 patient (10%). In the endoscopy-assisted vitrectomy group, postoperative visual acuity ranged from no light perception in 2 patients (40%), light perception in 1 patient (20%), and hand movements in 2 patients (40%). There was no statistically significant difference between the 2 groups in terms of the final postoperative visual acuity (F = 0.006, P = .937). There is no difference between the 2 groups in terms of the incidence of enucleation. The median symptom duration was 4 hours (range: 2–6 hours) in the conventional group and 9 hours (range: 7–11 hours) in the endoscopy-assisted vitrectomy group. The difference in the symptom duration between the 2 groups was statistically significant (P = .002).There is no statistical significant difference between the 2 groups in terms of visual acuity and incidence of enucleation. Therefore, endoscopy-assisted vitrectomy can be considered as an alternative treatment for treatment of B cereus endophthalmitis particularly for cases when symptom duration was more than 6 hours.

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Section: Introductionmentioning

confidence: 99%

Treatment of Bacillus cereus endophthalmitis with endoscopy-assisted vitrectomy

et al. 2017

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“…[13][14][15] Cerrahi sonrası ekvator önündeki difüz retinal çekintilerin devam etmesi çeşitli çalışmalarda postoperatif hipotoni için en önemli risk faktörü olarak gösterilmiştir. 7,16 Çalışmamızda da vitrektomi sonrası hipotoni gelişen 3 olguda periferik traksiyonlarla birlikte siliyer cisim dekolmanı mevcuttu.…”

Section: Discussionunclassified

Use of Ultrasound Biomicroscopy in the Diagnosis and Treatment of Chronic Ocular Hypotony

Nalcı¹,

Hoşal²,

Yalçındağ³

2019

Turkiye Klinikleri J Ophthalmol

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Ö ÖZ ZE ET T A Am ma aç ç: : Kronik oküler hipotoni, çeşitli hastalıklara ikincil oluşan, uzun dönemde kalıcı değişikliklere yol açabilen bir durumdur. Ultrason biyomikroskopinin (UBM) kullanıma girmesiyle hipotoni mekanizmalarının daha doğru değerlendirilmesi mümkün hâle gelmiştir. Bu çalışmada, olgu serisi üzerinden kronik oküler hipotoninin tanısında ve izleminde UBM'nin yerinin gösterilmesi amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Kliniğimizde 2005-2015 yılları arasında kronik hipotoni tanısıyla UBM yapılan hastalar retrospektif olarak değerlendirildi. Hastaların yaşı, cinsiyeti, primer hastalığı, görme keskinliği, göz içi basıncı, hipotoni süresi, UBM bulguları, hipotoni tedavisi ve tedavi sonuçları kaydedildi. B Bu ul lg gu ul la ar r: : 20 hastaya oküler hipotoni tanısıyla UBM görüntüleme yapıldığı belirlendi. Bu hastalardan filtran cerrahi sonrası fazla çalışan bleb nedenli hipotoni gelişenler ekarte edildikten sonra dosya bilgilerine ulaşılabilen 10 hastanın 12 gözü çalışmaya alındı. Hastaların 6 (%60)'sı kadın, 4 (%40)'ü erkekti. Ortalama tanı yaşı 58,5 (47-69) yıl'dı. Ortalama göz içi basıncı 4,25 mmHg (0-6 mmHg) idi. Hipotoni görülen gözlerin 8 (%66,6)'inde tanı kronik nonenfeksiyöz panüveit, 3'ünde (%25) regmatojen retina dekolmanı nedenli geçirilmiş pars plana vitrektomi (PPV) ameliyatı ve 1 (%8,4)'inde künt göz travması idi. UBM ile gözlerin 8 (%66)'inde siliyer cisim dekolmanı, 3 (%25)'ünde siliyer cisim atrofisi ve 1'inde(%8) siklitik membranlar izlendi. Bir (%8) hastada siliyer cisim normal görünümde idi. S So on nu uç ç: Oküler hipotoni hastalarında UBM, hipotoni mekanizmasının belirlenmesinde ve hastaların izlemlerinde yardımcı olan önemli bir değerlendirme yöntemidir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Kronik oküler hipotoni; ultrason biyomikroskopi A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Chronic ocular hypotony is an entity that can occur with different mechanisms secondary to various diseases, leading to permanent changes in long-term follow-up. With use of ultrasound biomicroscopy (UBM), it's possible to accurately identify the etiology of hypotony. The purpose of our study is to show the use of UBM in the diagnosis and follow-up of chronic ocular hypotony through a series of cases. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Patients who underwent UBM due to chronic ocular hypotony within years 2005-2015 were retrospectively evaluated. Age, sex, primary disease, visual acuity, intraocular pressure, duration of hypotony, UBM results, treatments and treatment results were noted. R Re es su ul lt ts s: : 20 patients who underwent UBM with a diagnosis of hypotony were identified. After ruling out patients with an owerworking bleb after glaucoma surgery, 12 eyes of 10 patients with complete file information were evaluated retrospectively. 6 (60%) of the cases were females,4 (40%) were males. Mean age was 58.5 (47-69) years. Mean intraocular pressure was 4,25 mmHg (0-6 mmHg). Primary disease was chronic non-infect...

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“…There are limitations to utilization of an endoscope, such as limited field of view, which requires some adjustment given the familiarity with wide-field viewing systems. Additionally, the view is monocular, so the surgeon must utilize other cues, such as focus, size, and light intensity, to compensate [47]. The free rotation ability of the endoscope probe creates difficulty with orientation, making movements within the eye challenging, especially in the learning period of surgeon.…”

Section: Endoscopic Vitrectomymentioning

confidence: 99%

Advances in Vitreoretinal Surgery

Komur¹

2019

Frontiers in Ophthalmology and Ocular Imaging

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Vitreoretinal surgery has been radically changed over the past 10 years by the development of new techniques, smaller gauge instrumentation, and improvements in vitrectomy machines. The indications for vitrectomy have expanded dramatically, and inoperable conditions have become amenable to surgical treatment. In addition to improvements in intraocular instruments, various dyes become available and enable better visualization and a more complete removal of vitreous and membranes. In this chapter, we issued latest developments in the surgical field of retina that enable improved surgical outcomes and less complications.

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

Cited by 27 publications

References 23 publications

Treatment of Bacillus cereus endophthalmitis with endoscopy-assisted vitrectomy

Treatment of Bacillus cereus endophthalmitis with endoscopy-assisted vitrectomy

Use of Ultrasound Biomicroscopy in the Diagnosis and Treatment of Chronic Ocular Hypotony

Advances in Vitreoretinal Surgery

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