Endoscope-assisted vitrectomy for retinal detachment in an eye with microcornea

We report a case of an endoscope-assisted vitrectomy for the treatment of retinal detachment associated with microcornea in a normal size globe. A 26-year-old Japanese man was referred after complaining of visual acuity loss OD. Both eyes became aphakic because of surgery for congenital cataracts in infancy. The visual acuity was 0.02 OD. The corneal diameter was 7.5 x 7.0 mm and axial length was 23.89 mm. Retinal detachment was suspected, although the details were obscure because of nystagmus and small pupils. Endoscope-assisted, 23-gauge pars plana vitrectomy and encircling buckling were performed, and reattachment of the retina was achieved. Retinal breaks were identified, and peripheral parts of the retina were observed by endoscopy. Endoscope-assisted vitrectomy may be advantageous for the management of detachment in an eye with microcornea.