Postoperative endophthalmitis is one of the most serious complications after cataract surgery though its frequency may be low. We report a case with post-cataract extraction bacterial endophthalmitis treated favorably by core vitrectomy through pars plana with anterior vitrectomy cutter (A-vit). The patient, a 72-year-old woman, presented with blurred vision 7 days after phacoemulsification and...

PURPOSE To investigate the incidence and predisposing factors of macular pucker formation after pars plana vitrectomy in patients who developed primary rhegmatogenous retinal detachment. METHODS We retrospectively reviewed a consecutive series of 284 eyes in 284 patients who underwent primary retinal detachment repair by pars plana vitrectomy alone between January 1, 2009 and December 31, 201...

BACKGROUND AND OBJECTIVE To describe a technique of 25-gauge pars plana lensectomy with primary posterior capsulotomy and sparing of the anterior lens capsule that is suitable for all lens densities. PATIENTS AND METHODS The authors describe a technique they routinely employ for pars plana vitrectomy using primarily a 25-gauge, three-port approach with intraoperative lens density assessment a...

Although the history of ophthalmic surgery can be dated back thousands of years with operations to treat cataracts, surgery involving the vitreous cavity has only been reported for less than 50 years. The initial description of major vitreous surgery was introduced by David Kasner in 1969 (Kasner, 1969). He described excision removal of the vitreous using a sponge and scissors, under an open sk...

Closed vitrectomy has largely supplanted the 'open sky' method, particularly because it results in minimal interference with the integrity of the globe. Ideally the pars plana sclerotomy should be sufficiently watertight to allow the intraocular pressure to be maintained during surgery without impeding free movement of the vitrectomy instrument within the eye. We describe a sclerotomy technique...

A 37-year-old man with type I diabetes mellitus and chronic renal failure presented to the emergency department complaining of hallucinations. He was 5 days postoperative for left pars plana vitrectomy and intra-ocular lens implantation and had been taking ophthalmic atropine, tobramycin and prednisolone. He had presented 5 months earlier, on the same ophthalmic medications, with postoperative ...