Endoscopic surgery in ophthalmology uses miniature cameras and instruments introduced through small incisions to visualise and treat structures that are otherwise difficult to see. Applications include endoscopic cyclophotocoagulation and endonasal orbital or lacrimal procedures.
Benefits
Endoscopy provides close‑up views of internal anatomy, allowing precise treatment with minimal external disruption. It can reduce incision size and improve access to confined areas.
- Commonly used via nasal approaches for DCR or orbital decompression
- Intraocular endoscopes enable laser treatment of the ciliary body or posterior capsule
- Special training and equipment are required
- Imaging and navigation may assist in complex cases
Considerations
While less invasive externally, endoscopic surgery remains technically demanding and carries specific risks. Outcomes depend on surgeon experience and case selection.
- Potential complications include bleeding, infection, or damage to nearby structures
- Recovery is often quicker with less visible scarring than open approaches
- Patients should receive clear counselling on goals and alternatives
- Endoscopy is frequently combined with other surgical techniques for optimal results
