Intraocular endoscopy: A review.
Intraocular endoscopy: A review.
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DOI：
10.4103/ijo.ijo_1029_20
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发表时间：
2021-01
影响因子：
3.1
通讯作者：
Pappuru RR
中科院分区：
文献类型：
--
作者：
Dave VP;Tyagi M;Narayanan R;Pappuru RR
最佳可视化是进行玻璃体视网膜手术最具挑战性的方面之一。在常规显微技术提供较差的后路可视化的情况下，可能需要内窥镜可视化的辅助技能。这允许绕过不透明的前节中膜，进入后节病理。内镜下玻璃体切除术是微切口玻璃体视网膜手术的一种有用而独特的辅助手段。内窥镜的光学设置允许常规显微镜观察系统无法实现的临床方法。这包括透过光学上显著的前段混浊观察和直接观察眼后段的能力。它还可以显示难以接近的视网膜后、视网膜后和视网膜前结构。手术进入解剖空间，如平面部、皱襞部、睫状体沟、睫状体和周围晶状体是繁琐的。内窥镜检查使这个过程变得简单。在这篇综述中，我们总结和回顾了眼内内窥镜作为一种诊断和治疗手段在广泛的眼部病变中的应用。
Optimal visualization is one of the most challenging aspects of performing vitreoretinal surgery. In situations where conventional microscopic techniques provide poor posterior visualization, the adjunctive skill set of endoscopic visualization may be needed. This allows for by-passing the opaque anterior segment media and getting access to the posterior segment pathology. Endoscopic vitrectomy is a useful and unique adjunct to microincision vitreoretinal surgery. The optical set-up of endoscopy allows for clinical approaches that are impossible with regular microscope viewing systems. These include the ability to observe across optically significant anterior segment opacities and directly visualize the posterior segment of the eye. It also allows for visualizing the difficult-to-access retroirideal, retrolental, and anterior retinal structures. Surgical access to anatomic spaces like the pars plana, pars plicata, ciliary sulcus, ciliary body, and peripheral lens is tedious. This is made simpler by endoscopy. In this review, we summarize and review the usage of the intraocular endoscope as a diagnostic and therapeutic armamentarium across a wide spectrum of ocular pathologies.