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...

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Main Authors: Sean M. Platt, Andrew J. Barkmeier
Format: Article
Language:English
Published: BMC 2020-11-01
Series:International Journal of Retina and Vitreous
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40942-020-00260-x
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author Sean M. Platt
Andrew J. Barkmeier
author_facet Sean M. Platt
Andrew J. Barkmeier
author_sort Sean M. Platt
collection DOAJ
description 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.
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spelling doaj.art-c39dd64c8fe649a4bae932b99b0f07272022-12-21T19:47:54ZengBMCInternational Journal of Retina and Vitreous2056-99202020-11-01611310.1186/s40942-020-00260-xEndoscope-assisted scleral buckle procedureSean M. Platt0Andrew J. Barkmeier1Department of Ophthalmology, Mayo ClinicDepartment of Ophthalmology, Mayo ClinicAbstract 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.http://link.springer.com/article/10.1186/s40942-020-00260-xEndoscopeScleral buckleRetinal detachmentPeters' anomaly
spellingShingle Sean M. Platt
Andrew J. Barkmeier
Endoscope-assisted scleral buckle procedure
International Journal of Retina and Vitreous
Endoscope
Scleral buckle
Retinal detachment
Peters' anomaly
title Endoscope-assisted scleral buckle procedure
title_full Endoscope-assisted scleral buckle procedure
title_fullStr Endoscope-assisted scleral buckle procedure
title_full_unstemmed Endoscope-assisted scleral buckle procedure
title_short Endoscope-assisted scleral buckle procedure
title_sort endoscope assisted scleral buckle procedure
topic Endoscope
Scleral buckle
Retinal detachment
Peters' anomaly
url http://link.springer.com/article/10.1186/s40942-020-00260-x
work_keys_str_mv AT seanmplatt endoscopeassistedscleralbuckleprocedure
AT andrewjbarkmeier endoscopeassistedscleralbuckleprocedure