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Pars plana vitrectomy during cataract surgery for prevention of aqueous misdirection in high-risk fellow eyes

Authors
  • Chaudhry, Nauman A
  • Flynn, Harry W Jr
  • Murray, Timothy G
  • Nicholson, Don
  • Palmberg, Paul F
Type
Published Article
Journal
American Journal of Ophthalmology
Publisher
Elsevier
Publication Date
Jan 01, 2000
Accepted Date
Oct 18, 1999
Volume
129
Issue
3
Pages
387–388
Identifiers
DOI: 10.1016/S0002-9394(99)00405-5
Source
Elsevier
License
Unknown

Abstract

PURPOSE: To report the use of pars plana vitrectomy as a prophylactic measure during cataract surgery for prevention of aqueous misdirection in high-risk fellow eyes. METHODS: Chart review of two patients with severe aqueous misdirection in their first eye at the time of cataract surgery that only responded to pars plana vitrectomy. RESULTS: In both patients, cataract extraction with posterior chamber intraocular lens implantation was initially performed after pars plana vitrectomy, with the creation of hyaloido-capsulo-iridotomy to establish a communication between the vitreous cavity and the anterior chamber. CONCLUSION: Pars plana vitrectomy as a prophylactic measure during cataract surgery may have a beneficial role in fellow eyes at high risk for developing aqueous misdirection.

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