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Pars plana vitrectomy from a temporal approach for a patient with a deep orbit
Ricardo C Closa1, Luciano S Pereira, Har Hiu D Lam
1From the Department of Ophthalmology, University of California at San Francisco, San Francisco, California.
Purpose:
To present an alternate technique for safely performing pars plana vitrectomy (PPV) for patients with extremely deep-set eyes or prominent brow ridges.
Patient And Methods:
A single patient with a very deep orbit and severe glaucoma that limited the surgeon's ability to operate on the superior conjunctiva underwent 25-gauge PPV with the surgeon seated temporally.
Results:
Twenty-five-gauge PPV with epiretinal membrane peeling and intraocular lens suturing was performed safely.
Conclusion:
PPV can be performed from a temporal approach if the access to the superior conjunctiva is limited.
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