Pars Plana Vitrectomy (PPV) - PDF

- 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