Masahito Ohji1, Yasuo Tano. 1. Department of Ophthalmology, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan. ohji@ophthal.med.osaka-u.ac.jp
Abstract
PURPOSE: To evaluate the feasibility of illuminating the fundus by combining a wide-angle-viewing contact lens and slit lamp attached to a surgical microscope during retinal reattachment surgery and vitrectomy. DESIGN: An interventional study. METHODS: We combined slit-lamp illumination and a wide-angle-viewing contact lens to visualize the fundus during retinal reattachment surgery and vitrectomy. RESULTS: We clearly observed the fundus using this combination approach during conventional retinal reattachment surgery, which we completed without using an indirect ophthalmoscope. With slit-lamp illumination, the wide-angle-viewing contact lens provided a wider area of illumination than a planoconcave contact lens during vitrectomy in addition to an area of illumination as wide as that obtained using a light pipe. CONCLUSIONS: Combining slit-lamp illumination and a wide-angle-viewing contact lens seems to provide a useful alternative method for viewing the fundus during vitreoretinal surgery.
PURPOSE: To evaluate the feasibility of illuminating the fundus by combining a wide-angle-viewing contact lens and slit lamp attached to a surgical microscope during retinal reattachment surgery and vitrectomy. DESIGN: An interventional study. METHODS: We combined slit-lamp illumination and a wide-angle-viewing contact lens to visualize the fundus during retinal reattachment surgery and vitrectomy. RESULTS: We clearly observed the fundus using this combination approach during conventional retinal reattachment surgery, which we completed without using an indirect ophthalmoscope. With slit-lamp illumination, the wide-angle-viewing contact lens provided a wider area of illumination than a planoconcave contact lens during vitrectomy in addition to an area of illumination as wide as that obtained using a light pipe. CONCLUSIONS: Combining slit-lamp illumination and a wide-angle-viewing contact lens seems to provide a useful alternative method for viewing the fundus during vitreoretinal surgery.