Rinsho Ganka Volume 71, Issue 8 (August 2017)

Heads-up vitreoretinal surgery with additional intraocular endoscopy and intraoperative optical coherence tomography Yuki Hara 1 , Makiko Matsumoto 1 , Eiko Tsuiki 1 , Naoki Imamura 1 , Takashi Kitaoka 1 1Department of Ophthalmology, Nagasaki University Hospital pp.1271-1275
Published Date 2017/8/15
DOI https://doi.org/10.11477/mf.1410212378
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Abstract Purpose:To report the outcome of heads-up vitreoretinal surgery.

Cases and Method:Surgery was performed by one surgeon while looking at the three-dimensional videoscopic monitor, or heads-up method. A total of 24 surgeries were performed during a 3-month period. The series comprised proliferative diabetic retinopathy 8 eyes, idiopathic macular hole 7 eyes, macular hole retinal detachment 2 eyes, epiretinal membrane 2 eyes, central retinal vein occlusion with vitreous hemorrhage 1 eye, and endophthalmitis one eye. Cataract surgery was performed on 13 eyes. Endoscopy was occasionally used intraoperatively.

Results:The course during and after surgery was favorable with no major complications. Heads-up surgery allowed the surgeon to operate by only looking at the display terminal and, additionally, to use accessory tools as optical coherence tomography or endoscopy. Frequent adjustment of image focusing was necessary in cataract surgery, resulting in difficulty to obtain stereoscopic field.

Conclusion:Heads-up method was useful in vitreoretinal surgery. There was no apparent no merit for cataract surgery.

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71巻8号 (2017年8月)
電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院