Pars Plana

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Harry W. Flynn - One of the best experts on this subject based on the ideXlab platform.

  • Endophthalmitis following Pars Plana vitrectomy for vitreous floaters.
    Clinical ophthalmology (Auckland N.Z.), 2014
    Co-Authors: Christopher R. Henry, Stephen G. Schwartz, Harry W. Flynn
    Abstract:

    A case of Staphylococcus caprae endophthalmitis in a young patient following Pars Plana vitrectomy for symptomatic vitreous floaters is reported here. Recent literature suggests that there is an increasing trend of performing Pars Plana vitrectomy for symptomatic floaters. Although rare, the potential risk of endophthalmitis should be explicitly discussed with patients considering surgical intervention for vitreous floaters.

  • Suprachoroidal hemorrhage during Pars Plana vitrectomy.
    Current opinion in ophthalmology, 2001
    Co-Authors: Homayoun Tabandeh, Harry W. Flynn
    Abstract:

    Suprachoroidal hemorrhage is an uncommon but serious complication of Pars Plana vitrectomy that can be associated with a guarded visual prognosis. Risk factors for development of suprachoroidal hemorrhage during Pars Plana vitrectomy include high myopia, history of previous retinal detachment surgery, rhegmatogenous retinal detachment, use of cryotherapy, scleral buckling at the time of Pars Plana vitrectomy, external drainage of the subretinal fluid, intraoperative systemic hypertension, and bucking during general anesthesia. In eyes with suprachoroidal hemorrhage during Pars Plana vitrectomy, the final visual and anatomic outcomes may be compromised by persistent retinal detachment, secondary glaucoma, and ocular hypotony. In most cases, intraoperative drainage of suprachoroidal hemorrhage is not associated with a better outcome. The prognosis is more favorable if the suprachoroidal hemorrhage is localized and does not extend in to the posterior pole.

Maurice B. Landers - One of the best experts on this subject based on the ideXlab platform.

  • An infusion temporary keratoprosthesis for Pars Plana vitrectomy.
    American journal of ophthalmology, 1996
    Co-Authors: Jeffrey D. Benner, Maurice B. Landers
    Abstract:

    Purpose To develop a temporary keratoprosthesis with integrated infusion cannula to minimize retinal complications during Pars Plana vitrectomy in eyes with an opaque cornea. Methods The wide-field temporary keratoprosthesis has been modified to include an integrated infusion cannula. The 20-gauge cannula runs from the periphery of the corneal flange, bends 90 degrees, and enters the eye after passing through the periphery of the corneal cylinder. Results The infusion wide-field temporary keratoprosthesis has been used successfully in three cases without the need to place a separate infusion, which risks iatrogenic retinal breaks or retinal dialyses. Droplet condensation on the posterior surface of the infusion temporary keratoprosthesis was reduced compared with the standard temporary keratoprosthesis. Conclusion We have developed a wide-field temporary keratoprosthesis with an integrated infusion cannula for use during Pars Plana vitrectomy in eyes with severe corneal opacity. This device eliminates the risk of complications related to the Pars Plana infusion cannula.

  • Intraocular fluid cultures after primary Pars Plana vitrectomy.
    American journal of ophthalmology, 1992
    Co-Authors: Steven M. Cohen, Jeffrey D. Benner, Maurice B. Landers, Lawrence S. Morse
    Abstract:

    To determine what organisms enter the eye and remain in the eye after Pars Plana vitrectomy, vitreous cavity aspirates were cultured postoperatively. Two of 33 (6%) consecutive eyes undergoing primary Pars Plana vitrectomy had positive cultures. One sample grew a single colony of Staphylococcus epidermidis , the second grew two colonies of Acinetobacter lwoffi. Neither of these eyes developed endophthalmitis. This study demonstrates that bacteria enter the eye at a low rate during Pars Plana vitrectomy and that the eye on which a vitrectomy has been performed is capable of clearing a low inoculum of bacteria.

Jeffrey D. Benner - One of the best experts on this subject based on the ideXlab platform.

  • An infusion temporary keratoprosthesis for Pars Plana vitrectomy.
    American journal of ophthalmology, 1996
    Co-Authors: Jeffrey D. Benner, Maurice B. Landers
    Abstract:

    Purpose To develop a temporary keratoprosthesis with integrated infusion cannula to minimize retinal complications during Pars Plana vitrectomy in eyes with an opaque cornea. Methods The wide-field temporary keratoprosthesis has been modified to include an integrated infusion cannula. The 20-gauge cannula runs from the periphery of the corneal flange, bends 90 degrees, and enters the eye after passing through the periphery of the corneal cylinder. Results The infusion wide-field temporary keratoprosthesis has been used successfully in three cases without the need to place a separate infusion, which risks iatrogenic retinal breaks or retinal dialyses. Droplet condensation on the posterior surface of the infusion temporary keratoprosthesis was reduced compared with the standard temporary keratoprosthesis. Conclusion We have developed a wide-field temporary keratoprosthesis with an integrated infusion cannula for use during Pars Plana vitrectomy in eyes with severe corneal opacity. This device eliminates the risk of complications related to the Pars Plana infusion cannula.

  • Intraocular fluid cultures after primary Pars Plana vitrectomy.
    American journal of ophthalmology, 1992
    Co-Authors: Steven M. Cohen, Jeffrey D. Benner, Maurice B. Landers, Lawrence S. Morse
    Abstract:

    To determine what organisms enter the eye and remain in the eye after Pars Plana vitrectomy, vitreous cavity aspirates were cultured postoperatively. Two of 33 (6%) consecutive eyes undergoing primary Pars Plana vitrectomy had positive cultures. One sample grew a single colony of Staphylococcus epidermidis , the second grew two colonies of Acinetobacter lwoffi. Neither of these eyes developed endophthalmitis. This study demonstrates that bacteria enter the eye at a low rate during Pars Plana vitrectomy and that the eye on which a vitrectomy has been performed is capable of clearing a low inoculum of bacteria.

Gary W. Abrams - One of the best experts on this subject based on the ideXlab platform.

Homayoun Tabandeh - One of the best experts on this subject based on the ideXlab platform.

  • Suprachoroidal hemorrhage during Pars Plana vitrectomy.
    Current opinion in ophthalmology, 2001
    Co-Authors: Homayoun Tabandeh, Harry W. Flynn
    Abstract:

    Suprachoroidal hemorrhage is an uncommon but serious complication of Pars Plana vitrectomy that can be associated with a guarded visual prognosis. Risk factors for development of suprachoroidal hemorrhage during Pars Plana vitrectomy include high myopia, history of previous retinal detachment surgery, rhegmatogenous retinal detachment, use of cryotherapy, scleral buckling at the time of Pars Plana vitrectomy, external drainage of the subretinal fluid, intraoperative systemic hypertension, and bucking during general anesthesia. In eyes with suprachoroidal hemorrhage during Pars Plana vitrectomy, the final visual and anatomic outcomes may be compromised by persistent retinal detachment, secondary glaucoma, and ocular hypotony. In most cases, intraoperative drainage of suprachoroidal hemorrhage is not associated with a better outcome. The prognosis is more favorable if the suprachoroidal hemorrhage is localized and does not extend in to the posterior pole.