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Pars plana approach for pupillary membranes.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|June 1, 1978
Summary
Pars plana surgery effectively treated various pupillary membrane issues, achieving permanent pupillary openings with minimal complications. Visual outcomes depended on the underlying condition, highlighting the importance of avoiding surgery during active uveitis.
Area of Science:
- Ophthalmology
- Surgical Procedures
- Retinal Surgery
Background:
- Pupillary membranes, including after-cataracts and those from trauma or inflammation, can impair vision.
- Pars plana surgery is a minimally invasive approach for posterior segment eye conditions.
Observation:
- A vitreous infusion suction cutter was utilized for pars plana surgery.
- The procedure addressed after-cataracts, traumatic pupillary membranes, inflammatory pupillary membranes, and combined posterior segment issues.
Findings:
- Surgical complications were minimal across all treated cases.
- A permanent pupillary opening was successfully created in all patients except one.
- Visual success was contingent upon the specific underlying ocular disease.
Implications:
- Pars plana surgery is a viable and safe option for managing complex pupillary membrane issues.
- Optimal surgical timing is crucial, with a recommendation against operating during active phases of uveitis to ensure better visual outcomes.