Vitreoretinal surgery with slit-lamp illumination combined with a wide-angle-viewing contact lens.
OBJECTIVE
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.


METHODS
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.
Ohji
Masahito
M
Department of Ophthalmology, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan. ohji@ophthal.med.osaka-u.ac.jp
Tano
Yasuo
Y
D003261:Contact Lenses; D006801:Humans; D008029:Lighting / Q000295:instrumentation* / Q000379:methods; D055095:Optics and Photonics; D012163:Retinal Detachment / Q000601:surgery*; D012591:Scleral Buckling; D014821:Vitrectomy / Q000295:instrumentation*