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首页> 外文期刊>Retinal cases & brief reports >'HEADS UP' DIGITALLY ASSISTED SURGICAL VIEWING FOR RETINAL DETACHMENT REPAIR IN A PATIENT WITH SEVERE KYPHOSIS
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'HEADS UP' DIGITALLY ASSISTED SURGICAL VIEWING FOR RETINAL DETACHMENT REPAIR IN A PATIENT WITH SEVERE KYPHOSIS

机译：“抬头”数字辅助手术观察严重脊柱病的患者视网膜脱离修复

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摘要

Purpose: To describe the surgical approach with a screen-based "heads up" digital viewing technology for the successful repair of a retinal detachment in a patient with severe kyphosis. Methods: Case report. Results: An 89-year-old man with vision loss in the left eye from a macula-involving retinal detachment of 4 weeks was scheduled for pars plana vitrectomy and retinal detachment repair. The patient had severe thoracic kyphosis, causing a fixed spinal flexion that presented a significant challenge to traditional intraoperative positioning and management. Surgery was performed using the NGENUITY system for primary surgical viewing, the surgeon operating heads up, and the patient in Trendelenburg position. There were no intraoperative or postoperative complications. Visual acuity improved to 20/80 and the retina remained attached with 11 weeks of follow-up. Conclusion: Heads up digitally assisted viewing technology may be useful or preferred for patients requiring vitreoretinal surgery in the setting of severe musculoskeletal limitations or other positioning challenges.
机译：目的：用屏幕为基础的“抬头”数字观察技术来描述患者在严重脊柱疮的患者中的视网膜脱离的成功修复的外科方法。方法：案例报告。结果：一名89岁的男子左眼失去视力丧失，涉及4周的黄斑导致视网膜脱离4周的视网膜脱离脱落。患者具有严重的胸腔脊柱脊髓，导致固定的脊柱屈曲，对传统的术中定位和管理提出了重大挑战。使用Ngenuity系统进行手术，用于初级外科观察，外科医生运行抬头，以及Trendelenburg地位的患者。没有术中或术后并发症。视力改善到20/80，视网膜仍然附有11周的随访。结论：抬高数字辅助观察技术对于需要培养的肌肉骨骼局限性或其他定位挑战的患者可能是有用的或优选的患者。

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