Vitrectomy for Vitreous Opacities

2021 ◽  
pp. 7-9
Keyword(s):  
Patient Satisfaction ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Effective Treatment ◽  
Pars Plana Vitrectomy ◽  
Treatment Method ◽  
Vitreous Floaters ◽  
Vitreous Opacities ◽  
Pars Plana ◽  
Risk And Benefit

Pars plana vitrectomy (PPV) surgery in vitreous opacities is an effective treatment method that increases patient satisfaction. However, due to the risks associated with PPV surgery, its application in vitreous floaters is controversial. Instead, performing sutureless, minimally invasive PPV surgery with 25 gauge trocars on floaters may reduce the risks. For surgical treatment, it is important to select appropriate patients, evaluation of the risk and benefit balance of PPV, and application the treatment.

scholarly journals 27-Gauge Vitrectomy for Symptomatic Vitreous Floaters with Topical Anesthesia

2017 ◽  
Vol 8 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Zhong Lin ◽  
Nived Moonasar ◽  
Rong Han Wu ◽  
Robin R. Seemongal-Dass
Keyword(s):  
Postoperative Complications ◽  
Minimally Invasive ◽  
Pars Plana Vitrectomy ◽  
Topical Anesthesia ◽  
Retrobulbar Anesthesia ◽  
Vitreous Floaters ◽  
Pars Plana ◽  
Vitrectomy Surgery ◽  
Surgery Duration

Purpose: Traditionally acceptable methods of anesthesia for vitrectomy surgery are quite varied. However, each of these methods has its own potential for complications that can range from minor to severe. The surgery procedure of vitrectomy for symptomatic vitreous floaters is much simpler, mainly reflecting in the nonuse of sclera indentation, photocoagulation, and the apparently short surgery duration. The use of 27-gauge cannulae makes the puncture of the sclera minimally invasive. Hence, retrobulbar anesthesia, due to its rare but severe complications, seemed excessive for this kind of surgery. Method: Three cases of 27-gauge, sutureless pars plana vitrectomy for symptomatic vitreous floaters with topical anesthesia are reported. Results: The vitrectomy surgeries were successfully performed with topical anesthesia (proparacaine, 0.5%) without operative or postoperative complications. Furthermore, none of the patients experienced apparent pain during or after the surgery. Conclusion: Topical anesthesia can be considered for 27-guage vitrectomy in patients with symptomatic vitreous floaters.

scholarly journals Nd:YAG vitreolysis and pars plana vitrectomy: surgical treatment for vitreous floaters

Eye ◽  
2002 ◽  
Vol 16 (1) ◽  
pp. 21-26 ◽  
Author(s):  
Y M Delaney ◽  
A Oyinloye ◽  
L Benjamin
Keyword(s):  
Surgical Treatment ◽  
Pars Plana Vitrectomy ◽  
Vitreous Floaters ◽  
Pars Plana

Pars plana vitrectomy for disturbing primary vitreous floaters: clinical outcome and patient satisfaction

2012 ◽  
Vol 251 (5) ◽  
pp. 1373-1382 ◽  
Author(s):  
Karlijn F. de Nie ◽  
N. Crama ◽  
Maurits A. D. Tilanus ◽  
B. Jeroen Klevering ◽  
Camiel J. F. Boon
Keyword(s):  
Patient Satisfaction ◽  
Clinical Outcome ◽  
Pars Plana Vitrectomy ◽  
Vitreous Floaters ◽  
Pars Plana

scholarly journals Endophthalmitis following pars plana vitrectomy for vitreous floaters

2014 ◽  
pp. 1649 ◽  
Author(s):  
Christopher R. Henry ◽  
Stephen Schwartz ◽  
Harry Flynn Jr.
Keyword(s):  
Pars Plana Vitrectomy ◽  
Vitreous Floaters ◽  
Pars Plana

Safety in parathyroid surgery: innovation in diagnostic and minimally invasive operations

2021 ◽  
Vol 23 (3) ◽  
pp. 29-34
Author(s):  
Pavel N. Romashchenko ◽  
Nikolaj A. Maistrenko ◽  
Dmitry O. Vshivtsev ◽  
Denis S. Krivolapov ◽  
Andrey S. Pryadko
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Traditional Approach ◽  
Treatment Method ◽  
Intraoperative Neuromonitoring ◽  
Parathyroid Glands ◽  
Safety Level ◽  
Tertiary Hyperparathyroidism ◽  
Surgical Interventions ◽  
Comprehensive Examination

The main treatment method of primary and tertiary hyperparathyroidism is surgery. However, surgical interventions on the parathyroid glands can lead to formidable complications such as laryngeal paresis and hypocalcemia. With this background, a comprehensive study examined the effectiveness of modern methods of diagnosis and surgical treatment of hyperparathyroidism to increase the safety level in surgery of the thyroid gland. The results of a comprehensive examination and treatment of 53 patients with hyperparathyroidism who underwent surgery using three methods were analyzed: traditional (n = 18/34); minimally invasive endoscopically assisted (n = 32/60), and endoscopic (transoral) (n = 3/6). Intraoperative neuromonitoring was also performed in all surgical interventions. Parathyroidectomy was performed under parathyroid monitoring for intraoperative topical diagnosis of parathyroid tumors in nine patients. The use of minimally invasive endoscopically assisted access to the parathyroid glands, as an alternative to the traditional approach, indicated that the preoperative potential in the diagnosis of parathyroid disorders. Moreover, intraoperative neuromonitoring and parathyroid monitoring demonstrated efficiency based on the decline in the incidence of specific postoperative complications with a tolerable increase in operative time, maintenance of the average duration of stationary treatment after surgery, and increased safety level of surgical treatment of hyperparathyroidism.

scholarly journals PARS PLANA VITRECTOMY IN POST-CATARACT SURGERY ENDOPHTHALMITIS IN CIPTO MANGUNKUSOMO HOSPITAL

2020 ◽  
Vol 4 (10) ◽  
Author(s):  
Andi Arus Victor ◽  
Fitria Romadiana ◽  
Ari Djatikusumo ◽  
Elvioza ◽  
Gitalisa Andayani Adriono ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Effective Treatment ◽  
Pars Plana Vitrectomy ◽  
Demographic Data ◽  
Visual Outcome ◽  
Descriptive Study ◽  
Common Cause ◽  
Causative Microorganism ◽  
Pars Plana

Background: Endophthalmitis is one of the emergencies in ophthalmology and can cause blindness. The most common cause of endophthalmitis in intraocular surgery is cataract surgery. Immediate diagnosis and treatment can provide optimal final vision. This research aimed to describe the demographic data, and causative microorganisms, as well as the success rate of visual outcome after pars plana vitrectomy (PPV) in post-cataract surgery endophthalmitis in Cipto Mangunkusumo Hospital. Methods: A retrospective descriptive study of post-cataract surgery endophthalmitis underwent vitrectomy in Cipto Mangunkusumo Hospital, Indonesia, from January 2017 - June 2017. Results: There were twenty one cases of post-cataract surgery endophthalmitis undergoes PPV within the period of January 2017-June 2017. The most frequently identified causative microorganism was Staphylococcus (23%). There was an improvement of visual acuity after PPV procedure in 47,6% post-cataract surgery endophthalmitis. Conclusion: Immediate PPV is an effective treatment and leads to vision improvement in post-cataract surgery endophthalmitis.   Keywords: pars plana vitrectomy, endophthalmitis, cataract surgery

Cauterized suture for complete tube occlusion of Ahmed glaucoma valve in hypotony maculopathy

2019 ◽  
Vol 30 (1) ◽  
pp. 221-223 ◽  
Author(s):  
María Isabel Canut ◽  
Maddi Alonso-Agesta ◽  
Jessica Botella ◽  
Gemma Julio
Keyword(s):  
Minimally Invasive ◽  
Pars Plana Vitrectomy ◽  
Ahmed Glaucoma Valve ◽  
Effective Technique ◽  
Medical Treatments ◽  
Hypotony Maculopathy ◽  
History Of ◽  
Pars Plana ◽  
Male Patients ◽  
Ab Interno

Purpose: To present our experience treating hypotony maculopathy with a simple, minimally invasive, and removable ab interno tube Ahmed glaucoma valve occlusion. Methods: Under topical anesthesia a 5–0 polypropylene suture (Prolene; Ethicon) was inserted into the Ahmed glaucoma valve tube. The length of the tube was measured, and an external suture cauterization was performed to allow an easier and safer fixation in the tube. The suture was introduced into the tube itself with the viscoelastic 27-gauge cannula. Results: This technique was performed in three cases of hypotony maculopathy with a complex history of medical treatments: a 4-year-old boy with Donnai-Barrow syndrome and previous pars plana vitrectomy that developed hypotony maculopathy the day after Ahmed glaucoma valve insertion and two male patients (69 and 49 years old) that underwent hypotony maculopathy after cyclophotocoagulation as a last option to reduce intraocular pressure. One of the men had three filtering surgeries, two 5-fluorouracil needlings and Ahmed glaucoma valve insertion. The other male patient had keratoplasty and posterior Ahmed glaucoma valve insertion. In the three cases, both hypotony and maculopathy were reversed within a week and a month, respectively, after Ahmed glaucoma valve occlusion with no complications. When hypotony maculopathy develops it seems suitable to occlude completely the Ahmed glaucoma valve tube to swiftly reverse clinical and anatomic changes. Conclusion: Intraluminal Ahmed glaucoma valve occlusion with cauterized suture is a simple, quick, reversible, and effective technique that may offer a minimally invasive way to resolve hypotony maculopathy in complex cases and avoid severe loss of vision.

scholarly journals Pars Plana Vitrectomy for Vitreous Floaters

Retina ◽  
2014 ◽  
Vol 34 (6) ◽  
pp. 1043-1045 ◽  
Author(s):  
Christopher R. Henry ◽  
William E. Smiddy ◽  
Harry W. Flynn
Keyword(s):  
Pars Plana Vitrectomy ◽  
Vitreous Floaters ◽  
Pars Plana
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