Ulrich Spandau, MD, PhD

Uppsala University Hospital, Uppsala, Sweden 

Summary. In this paper, a new method of sealing with an operating microscope and an optical system will be presented.

The optical fiber of the chandelier illuminator is inserted into the flat part of the ciliary body (the ciliary body) in the pars plana into the very cornea of the eye. The image of the retina will be shown on the screen of the standard optical system (BIOM). Thanks to the optical system, it is much easier to view the posterior segment of the eye and to find retroperitoneal locations much faster than indirect (reverse) ophthalmoscopy. In addition, the sewing of sealing material (silicone sponge) is easier to perform with a microscope than with indirect ophthalmoscopy. From this, it can be concluded that using the microscope and the optical system is easier and faster to track breaks in the retina than in the retrospect of ophthalmoscopy examination of the eye. Today, specialists in vitreoretinal surgery have extensive experience in working with a microscope and an optical system than the technique of indirect binocular ophthalmoscopy (using a microscope). This new method facilitates the operation of episcal seals and improves the outcome of the surgical intervention itself.

Received: 12 Nov. 2018

Published: April 2019