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Endoscopy in Vitreo Retinal Surgery


Ophthalmic microendoscopy is an important tool 
in managing complicated vitreoretinal 
cases.  It affords more efficient, higher quality 
surgical approaches, which can contribute to 
improved patient outcomes.
Endoscopy Indications VR Surgery

 • Endoscopic Vitrectomy for Diabetic Retinopathy

 • Endoscopic Vitrectomy for Retinal Detachment Surgery

 • Endoscopic Vitrectomy for Dislocated Intraocular Lens

 • Endoscopic Vitrectomy for Dislocated Lens Material

 • Endoscopic Vitrectomy for Endophthalmitis

 • Endoscopic Vitrectomy for Intraocular Foreign Body

 • Endoscopic Vitrectomy for Iris Neovascularization Complications

 • Endoscopic Vitrectomy for Hypotony

 • Endoscopic Vitrectomy for Retinopathy of Prematurity

 • Endoscopic Vitrectomy for Choroidal Hemorrhage and Effusion

Co-Authors

Thomas C. Lee, MD


Click to view this ARSR 2012 Film Festival "Doctors' Choice" Award 
winning video.
Endoscopic Anatomy and Pathoanatomy of 
the Anterior Vitreous Base
Claude Boscher, Raphael Amar, Dan A.Lebuisson
American Hospital, Paris, France


INTRAOCULAR MICROSCOPY - A NEW VIEW!


An endoscopic view can be invaluable at times when the

surgeon’s view through operating microscope is obstructed

or inadequate:  

 

       - Corneal Opacities (Scarring or Edema)

       - Lens Opacities (Cataract, dislocated IOL) 

       - Small Pupils (Due to Long Surgery or Medications)

       - Blood/Hemorrhage

       - Condensation on IOL (Air/Fluid or Silicone)

 

An endoscopic allows viewing and Photocoagulation of the

far Peripheral Retina with scleral depression.

 

An endoscopic allows viewing and facilitates removal of 

membrane growth over the Ciliary Body.   


Coaxial Image and Illumination yields superior imaging of 

structures like anterior hyoids.

 

An endoscope allows an adjunctive view to the operating 

microscope to facilitate imaging of difficult to view 

tissue like an anterior hyloid, or planning removal of an 

intraocular foriegn body.
In this video Prof. Khalid Al Sabti, of Kuwait University Medical Center, 
locates and removes a residual silicone oil bead under the iris under direct 
view of an illuminated endoscope.

In this video Prof. Khalid Al Sabti, of Kuwait University Medical Center, 
peels and removes an epiretinal membrane under direct view of an 
illuminated endoscope.
Retinal Endoscopy. Illumination, and Photocoagulation  
JORGE G. ARROYO, MD, MPH; TAIGA KINOSHITA, MD; AND KYLE D. KOVACS 
Retina Today, June 2009
Document
Retinal Endoscopy. Illumination, and Photocoagulation

Endoscopic Vitrectomy for Diabetic Retinopathy


 i. Vitreous Hemorrhage

 ii. Traction Macular Detachment

 iii. Combined Traction and Rhegmatogenous Detachment

 iv. Anterior Hyaloidal Fibrovascular Proliferation

 v. Iris Neovascularization Associated with Opaque Media

 vi. Macular Edema Surgery


Endoscopic Vitrectomy in Retinal Detachment Surgery


 i. Rhegmatogenous Retinal Detachment

 ii. Giant Retinal Tear and Detachment

 iii. PVR


Endoscopic Vitrectomy for Dislocated IOLS


 i. Imaging and Mobilizing IOLs

 ii. IOL Explantation

 iii. Repositioning of Dislocated IOLs

 iv. Suturing of Dislocated IOLs

 v. Haptic Erosion of Tissue and Intraocular Hemorrhage


Small-Gauge Endoscope Facilitates Difficult Cases 

The 23-gauge endoscope is a versatile tool to enhance visualization. 

JEFFREY S. HEIER, MD; AND CAROLYN CHEN, MD 

Retina Today, February 2012
Document
Small Gauge Endoscope Facilitates Difficult Cases


Endoscopic Vitrectomy in Children 


G. Baker Hubbard, III, MD, S. Chien Wong, MD, Nicholas E. Engelbrecht, MD 

and Thomas C. Lee, MD


Retina Times, Spring 2012, Volume 30 , Number 1. Issue 43 
Document
Endoscopic Vitrectomy in Children