1. Small-Gauge Endoscopy-Guided Pneumatic Anterior Hyaloid Detachment: A New Surgical Technique for Combined Pars Plana Vitrectomy and Pars Plana Glaucoma Drainage Implant
- Author
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Mark R. Lesk, Flavio A. Rezende, Ali Dirani, and Marina R Ciongoli
- Subjects
Pars plana ,medicine.medical_specialty ,Intraocular pressure ,Visual acuity ,genetic structures ,medicine.medical_treatment ,Visual Acuity ,Glaucoma ,Vitrectomy ,03 medical and health sciences ,0302 clinical medicine ,Ophthalmology ,medicine ,Humans ,Glaucoma Drainage Implants ,Intraocular Pressure ,Diabetic Retinopathy ,medicine.diagnostic_test ,business.industry ,Ciliary Body ,Endoscopy ,Diabetic retinopathy ,medicine.disease ,eye diseases ,Glaucoma, Neovascular ,Vitreous Body ,medicine.anatomical_structure ,030221 ophthalmology & optometry ,sense organs ,Implant ,medicine.symptom ,business ,Tomography, Optical Coherence ,030217 neurology & neurosurgery - Abstract
BACKGROUND AND OBJECTIVE: Pars plana glaucoma drainage implant (GDI) occlusion is mainly related to entrapment of residual anterior vitreous gel in the implant. The aim of the present report is to describe a new surgical technique to induce pneumatic anterior hyaloid detachment in eyes with GDI. PATIENTS AND METHODS: This is a description of the surgical technique used to induce pneumatic anterior hyaloid detachment. RESULTS: The technique was used in two cases. The first patient had secondary Ahmed valve (New World Medical, Rancho Cucamonga, CA) obstruction secondary to anterior vitreous entrapment; the second patient had neovascular glaucoma secondary to proliferative diabetic retinopathy and underwent pars plana GDI implantation. CONCLUSION: Endoscopy-assisted anterior hyaloid detachment allows for complete removal of anterior hyaloid and decreases the risk of secondary implant obstruction. [ Ophthalmic Surg Lasers Imaging Retina . 2018;49:48–50.]
- Published
- 2018
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