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Corneal epithelial defect after pars plana vitrectomy.

Ahmed Sulaiman Al-Hinai1

  • 1Department of Ophthalmology, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman.

Oman Journal of Ophthalmology
|November 10, 2017
PubMed
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Vitrectomy versus Phaco-vitrectomy.

Oman journal of ophthalmologyยท2019
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Corneal epithelial defects (CEDs) occur in 15.7% of pars plana vitrectomy (PPV) procedures, more often in males and with longer surgery times. These defects typically resolve with conservative treatment.

Area of Science:

  • Ophthalmology
  • Retinal Surgery

Background:

  • Pars plana vitrectomy (PPV) is a common retinal surgery.
  • Corneal epithelial defects (CEDs) are a potential postoperative complication.

Purpose of the Study:

  • To determine the incidence of CED after PPV.
  • To identify patient-related risk factors for CED.
  • To assess other immediate postoperative complications.

Main Methods:

  • Retrospective descriptive case series.
  • Review of electronic medical records for patients undergoing PPV.
  • Data collected included demographics, surgical details, and postoperative findings.

Main Results:

  • 168 procedures in 106 patients were analyzed.
Keywords:
Corneal epithelial defectspars plana vitrectomypostoperative

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  • CED occurred in 15.7% of eyes, predominantly in males.
  • Longer surgery duration was associated with higher CED incidence (P=0.0038).
  • Intraocular hypertension (IOH) occurred in 24.8% of eyes.
  • Other complications occurred in 10.7% of eyes.

    • Conclusions:

    • CED is a notable complication after PPV, particularly in males and with prolonged surgery.
    • Older patients may also be at higher risk.
    • CEDs generally resolve well with conservative management.