Two-port pars plana vitrectomy surgery: a prospective interventional case series.

Abstract

BACKGROUND AND OBJECTIVE:

Current literature review fails to disclose any series describing the use of two-port vitrectomy in adult patients. This study was performed to determine the feasibility and efficacy of pars plana vitrectomy surgery using two (rather than three or four)-port access for treatment of diabetic patients with nonclearing vitreous haemorrhage due to retinal neovascularization.

DESIGN:

Interventional prospective case series: to measure ability to allow for long-term resolution of chronic uncomplicated vitreous haemorrhage in diabetic patients, and to study the frequency and nature of complications associated with this technique.

METHODS:

Two-port pars plana vitrectomy (with endolaser treatment and membrane delamination if necessary) was performed in a prospective series of 12 consecutive diabetic patients with nonclearing vitreous haemorrhage due to retinal neovascularization.

RESULTS:

Successful removal of vitreous haemorrhage resulted in all patients. No visually significant intraoperative complications occurred. Best postoperative visual acuity correlated with lenticular and macular perfusion status.

CONCLUSION:

Two-port pars plana vitrectomy is an efficient (and potentially safer and faster) alternative to the standard three-port vitrectomy in selected patients.

• Authors: M Colucciello
• Journal: Eye (London, England) (Eye (Lond)) Vol. 19 Issue 8 Pg. 869-72 (Aug 2005) ISSN: 0950-222X [Print] England
• PMID: 15359245 (Publication Type: Evaluation Study, Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Chronic Disease
• Diabetic Retinopathy (complications, physiopathology, surgery)
• Feasibility Studies
• Humans
• Middle Aged
• Prospective Studies
• Treatment Outcome
• Visual Acuity
• Vitrectomy (methods)
• Vitreous Hemorrhage (etiology, physiopathology, surgery)