Changes in the anterior segment of the eye following uncomplicated pars plana vitrectomy. A review.

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

Clinic of Ophthalmology, University Hospital Ostrava, Czech Republic.

Published: September 2019

AI Article Synopsis

  • Pars plana vitrectomy (PPV) is the most common method for retinal surgery, impacting both the back and front parts of the eye.
  • This paper reviews existing research on how PPV affects the anterior segment, highlighting potential complications even in otherwise healthy patients.
  • Surgeons should be particularly mindful of patients with glaucoma or endothelial issues and should plan for potential cataract surgery, noting that most anterior segment changes after PPV are usually temporary.

Article Abstract

Pars plana vitrectomy is currently the most common technique used in retinal surgery. Although primarily involving the posterior segment of the eye it also affects the anterior segment. As this is a less published topic, the aim of this paper was to review the literature on changes in the anterior segment after uncomplicated pars plana vitrectomy using data based literature search. The conclusions are that even in otherwise ophthalmologically healthy patients, complications may occur in the anterior segment. Surgeons need to pay utmost attention in glaucoma patients and in those with endothelial insufficiency who are at highest risk of complications. He/she must also correctly plan a potential cataract surgery if not already done earlier. From the literature, most of the changes in the anterior segment after uncomplicated PPV are found to be temporary.

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Source
http://dx.doi.org/10.5507/bp.2019.014DOI Listing

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