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

Area of Science:

• Ophthalmology
• Surgical Innovation

Background:

• Limited literature exists on two-port vitrectomy in adults.
• Diabetic retinopathy often causes nonclearing vitreous hemorrhage.

Purpose of the Study:

• To assess the feasibility and efficacy of two-port pars plana vitrectomy.
• To evaluate its potential for long-term resolution of diabetic vitreous hemorrhage.
• To study complications associated with the two-port technique.

Main Methods:

• Prospective interventional case series.
• 12 consecutive diabetic patients with nonclearing vitreous hemorrhage underwent two-port pars plana vitrectomy.
• Procedures included endolaser treatment and membrane delamination as needed.

Main Results:

• Complete vitreous hemorrhage removal was achieved in all patients.
• No significant intraoperative complications were observed.
• Postoperative visual acuity was linked to macular perfusion and lens status.

Conclusions:

• Two-port pars plana vitrectomy is an effective treatment for diabetic vitreous hemorrhage.
• This technique presents a potentially safer and faster alternative to standard three-port vitrectomy.
• It is suitable for selected diabetic patients with nonclearing vitreous hemorrhage.