The Asia-Pacific Journal of Ophthalmology

Asia-Pacific Journal of Ophthalmology:

Issue 3, May/June 2018 Review Article

Endoscopy for Pediatric Retinal Disease

Yeo, Damien C.M.; Nagiel, Aaron; Yang, Unikora; Lee, Thomas C.; Wong, Sui Chien



Author Information


From the *Department of Ophthalmology, Great Ormond Street Hospital for Children, London, England; †Children’s Hospital Los Angeles, Los Angeles, California; ‡National Institute for Health Research Biomedical Research Centre, Moorfields Eye Hospital & UCL Institute of Ophthalmology, London; and §Royal Free Hospital, London, England.


Reprints: Sui Chien Wong, MBBS, FRCSEd(Ophth), PGC, Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N 3JH, England. E-mail: 
chien22@yahoo.com.



Abstract


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 significant anterior segment opacities and directly visualize difficult-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 retinal 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 highlight its role in pediatric vitreoretinal diseases.




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