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OPHTHALMIC ENDOSCOPIC SURGERY 

Clinical Applications



Most Ophthalmic Sub-Specialties can benefit from incorporating Endoscopy into their Surgical Armamentarium

          • Glaucoma Surgeons


                   - Endoscopic Cyclophotocoagulation (ECP) in open and narrow angle Glaucoma

                   - Phaco/ECP in patients with mild to moderate Glaucoma with cararact

                   - ECP Plus in management of Intractable Refractory Glaucoma

                   - Endoscopic Cycloplasty for Plateau Iris Narrow Angle Glaucoma

                   - Endoscopic Goniotomy in management of Pediatric Glaucoma

                   - Endoscopic Gonioscopy facilitates implanting Stents or excising Trabecular Meshwork

                   - Verifying Tube Placement behind Iris.  Restoring/Unblocking occluded tubes. 

                   - Indentifying and reattaching Cyclodialisys Clefts  


                 


          • Vitreo Retinal Surgeon

                   - Endoscopic Guided Vitrectomy

                   - Ocular Trauma Management 

                   - View/Treat membranes, and traction bands in patients with PVR and Hypotony

                   - Manage Severe Endophthalmitis 

                   - View/Remove retained Silicon Oil, incarcerated vitreous

                   - Pars Plana ECP for Neovascular Glaucoma

                   - Observation/removal of Intraocular Foreign Bodies 

                   - Photocoagulation in far periphery without scleral depression

                   - Facilitate recovery of dropped Nucleus 

                   - Facilitate recovery and effective atraumatic repositioning of dropped IOL  

                   - Visualization of micro tears and hemorrhages in periphery after RD Surgery

                   - Intraocular visualization to augment fixed perspective view of Operating Microscope 



          • Anterior Segment Surgeons


                   - Managing Complications of Cataract Surgery

• Dislocated IOLs (Sulcus Fixation)

• Inspecting Capsular Bag after failed capsulorhexis

• Inspecting Capsular/Zonular Integrity in patients with Pseudoexfoliation Syndrome

• Identifying overlooked cortical nuclear material causing persistent immflamation

• Identifying/relocating slipped haptics in Uveitis Glaucoma Hypphema Syndrome

• Confirming optimal positioning and capsular support of Premium IOLs

• Endoscopic Phaco and IOL Implantation



          • Oculoplastic Surgeons      

                    

- Transcanicular Endoscopic Inspection

- Endonasal Endoscopic Assisted DCR

- Endoscopically asssited Intubation


 



VIEW POSTERIOR IRIS AND PERIPHERAL STRUCTURES WITHOUT ANATOMICAL DISTORTION OF SCLERAL DEPRESSION.


An endoscopic view of the posterior iris, ciliary processes. a vitrector, pars plana, and peripheral retina.





 

VIEW CILIARY PROCESSES, CAPSULAR BAG AND SULCUS.


An endoscopic view of the ciliary processes. and an IOL haptic in the bag.

Low Power (0.25W) laser energy absorbed by ciliary epithelium during ECP, inhibiting production of aqueous, lowering IOP.