gms | German Medical Science

21st Annual Meeting of the German Retina Society and 8th Symposium of the International Society of Ocular Trauma (ISOT)

German Retina Society
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

Role of endoscopy in ocular Trauma

Meeting Abstract

  • Cesare Forlini - Ravenna/Italy
  • A. Bratu - Bucarest/Romania
  • M. Forlini - Ravenna/Italy
  • A. Aversano - Ravenna/Italy
  • P. Rossini - Ravenna/Italy

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008V025

The electronic version of this article is the complete one and can be found online at:

Published: June 18, 2008

© 2008 Forlini et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Purpose: To describe the usefulness of the endoscopy in the vitreoretinal surgery.

Methods: We present several cases of secondary IOL implantation, refractory glaucoma treatment, post-traumatic cases assisted by using a via pars plana endoscope.

Results: Through endoscopic view it is possible to directly evaluate the capsular condition and the extent of iris atrophy, a surgical strategy may be planned and the best type of implant may be chosen. If there are enough capsular remains a sulcus posterior chamber IOL will be implanted. The direct vision of iris surface allows also the IOL fixation on the posterior iris surface. In a complex pathology like refractory glaucoma it is very important to have the possibility to evaluate the condition of the eye before the treatment thus defining the strategy and the possibility to verify directly the cyclodestructive effect of the laser beam, sometimes treating also the retinal surface with the photocoagulation. In this way, we avoid either insufficient or excessive treatments in those cases when the ciliary bodies have already been destroyed by the pathology and the high intraocular pressure is due to obstacle to acqueous flow.

Conclusions: Endoscopy represents a significant improvement in eye surgery for several reasons: 1. better pre-surgical evaluation; 2. direct visualization of otherwise not visible endobulbar segments; 3. evaluation of the results at the end of the procedure. Endoscopy in secondary IOL implants remains one of the most successful applications of endoscopic techniques.