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Endoscope-assisted scleral buckle procedure.


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.

SUBMITTER: Platt SM 

PROVIDER: S-EPMC7659157 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Endoscope-assisted scleral buckle procedure.

Platt Sean M SM   Barkmeier Andrew J AJ  

International journal of retina and vitreous 20201111 1


<h4>Background</h4>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.<h4>Case presentation</h4>The authors describe a retinal reattachment technique utilizing endoscope-assisted visualization to perform a primary scleral buckle procedure for a 34yo female with Peters'  ...[more]

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