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Pars plana virectomy. Preoperative evaluation

F I Tolentino, H M Freeman, C L Schepens

    Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology
    |May 1, 1976
    PubMed
    Summary
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    Closed vitrectomy is recommended for persistent vitreous opacities when vision is impaired but the retina remains functional. Careful patient evaluation ensures surgical benefits outweigh risks for better visual outcomes.

    Area of Science:

    • Ophthalmology
    • Surgical Procedures

    Background:

    • Vitreous opacities can significantly impair vision.
    • Evaluating surgical candidacy requires careful consideration of multiple factors.

    Purpose of the Study:

    • To outline essential considerations for patient evaluation prior to closed vitrectomy.
    • To emphasize the importance of each evaluation criterion.

    Main Methods:

    • Review of essential considerations for patient selection in closed vitrectomy.
    • Identification of specific clinical and diagnostic criteria.

    Main Results:

    • Recommends closed vitrectomy for vitreous opacities unresolved after six months.
    • Suggests criteria including visual acuity (better than light perception), absence of rubeosis iridis/glaucoma, and functional retina/optic nerve via ultrasonography, ERG, and VER.

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  • Emphasizes that the potential benefit must exceed surgical risks.

    • Conclusions:

    • Closed vitrectomy is a viable option for specific cases of visually significant vitreous opacities.
    • A structured evaluation process is crucial for successful surgical outcomes in vitrectomy patients.