Pars Plana Vitrectomy (PPV) PDF
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Uploaded by ThriftyChaos
State University of New York College of Optometry
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Summary
This document discusses Pars Plana Vitrectomy (PPV), a surgical procedure for treating retinal conditions. It covers various aspects of the procedure, including considerations for fluid/gas exchange, success rates, and potential complications such as cataract formations, retinal tears, and inflammation. There is also discussion on post-operative care, including managing pain, monitoring for complications, and the use of specific medications. The document also addresses the different treatment options available for retinal tears and detachments, such as laser photocoagulation, and cryopexy.
Full Transcript
- This took is used to release traction and pull up the ILM - This took is used to release traction and pull up the ILM An antibiotic can be give prophylactically to reduce the likelihood of endophthalmitis and the steroid can help with inflammation and wound healing An antibiotic can...
- This took is used to release traction and pull up the ILM - This took is used to release traction and pull up the ILM An antibiotic can be give prophylactically to reduce the likelihood of endophthalmitis and the steroid can help with inflammation and wound healing An antibiotic can be give prophylactically to reduce the likelihood of endophthalmitis and the steroid can help with inflammation and wound healing - This took is used to release traction and pull up the ILM -pts who have complicated retinal tears and detachment, the retina has a hard time staying down so you can put silicone oil into the center of the eye where the vitreous was and the silicone oil can hold the retina down with its weight -oftentimes pt can’t see bc of it -in order to make sure the retina remains attached surgically you insert a gas bubble into the eye and the gas bubble is going to abut the specific area where you had the repair done -macular holes are repaired using gas bubbles I helped a family member go through this process a few years ago; the recommendation was for her to be facedown for 22 out of 24 hours of the day – it was not easy If the IOP is highly elevated for a long time in these patients this can cause damage; you don’t want to fix a patient’s central vision only to compromise their peripheral vision VA reduced because of inflammation but also the gas bubble could be in the view -for a PPV you will almost always have a PSC form -pt also has hyphema -bacterial endophthalmitis is due to infection whereas sterile endophthalmitis occurs bc it just happens when the eye is very inflamed -want to avoid prostaglandins like latanoprost bc they’re pro-inflammatory
