Open AccessEndoscopy for Pediatric Retinal Disease
Author(s) -
Damien Yeo,
Aaron Nagiel,
Unikora Yang,
Thomas C Lee,
Sui Chien Wong
Publication year - 2018
Publication title -
asia-pacific journal of ophthalmology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.163
H-Index - 20
ISSN - 2162-0989
DOI - 10.22608/apo.2018154
Subject(s) - pars plana , vitrectomy , medicine , ciliary body , retinopathy of prematurity , retinal , ophthalmology , vitreoretinal surgery , optometry , endoscopy , surgery , retinal detachment , biology , visual acuity , pregnancy , genetics , gestational age
Endoscopic vitrectomy is a useful and unique adjunct to microincision vitreoretinal surgery. The optical properties of endoscopy allow for some clinically advantageous approaches that are not possible with regular microscope viewing systems, namely, the ability to both bypass optically signficant anterior segment opacities and directly visualize dificult-to-access retroirideal, retrolental, and anterior retinal structures in their natural anatomical configuration. The surgical benefits include improved surgical access to the pars plana, pars plicata, ciliary sulcus, ciliary body, and peripheral lens, along with unique access to anterior traction in complex pediatric anterior detachments, particularly in retinopathy of prematurity. This review will focus on the development and surgical utility of intraocular endoscopy, provide an update on its current uses in the era of microincision vitreoretinal surgery, and highligh its role in pediatric vitreoretinal diseases.