内窥镜玻璃体切除术是微切口玻璃体视网膜手术的有用且独特的辅助手段。内窥镜的光学特性允许一些临床上有利的方法,这是常规显微镜观察系统不可能的。即,既可以绕过光学上明显的眼前段混浊,又可以直接可视化难以进入的逆行,后牙,和视网膜前部结构的自然解剖结构。手术的好处包括改善了平坦部的手术通道,plicata,睫状沟,睫状体,和外围透镜,在复杂的儿科前脱离中,独特的前牵引通道,尤其是早产儿视网膜病变。本文将重点介绍眼内内窥镜检查的发展和手术用途。提供其在微切口玻璃体视网膜手术时代的最新用途,并提高其在小儿玻璃体视网膜疾病中的作用。
Endoscopic vitrectomy is a useful and unique adjunct to microincision vitreoretinal surgery. The optical properties of endoscopy allow for some clinically advantageous approaches that are not possible with regular microscope viewing systems, namely, the ability to both bypass optically signficant anterior segment opacities and directly visualize dificult-to-access retroirideal, retrolental, and anterior retinal structures in their natural anatomical configuration. The surgical benefits include improved surgical access to the pars plana, pars plicata, ciliary sulcus, ciliary body, and peripheral lens, along with unique access to anterior traction in complex pediatric anterior detachments, particularly in retinopathy of prematurity. This review will focus on the development and surgical utility of intraocular endoscopy, provide an update on its current uses in the era of microincision vitreoretinal surgery, and highligh its role in pediatric vitreoretinal diseases.