Downloaded from http://bjo.bmj.com/ on March 8, 2015 - Published by group.bmj.com
Clinical science
Combined endoscopic vitrectomy with pars plana tube shunt procedure Adeel H Shaikh,1,2 Anup K Khatana,1,2 Jeffrey M Zink,1,2 Daniel M Miller,1,2 Michael R Petersen,1 Zelia M Correa,2 Christopher D Riemann1,2 1
Cincinnati Eye Institute, Cincinnati, Ohio, USA University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
2
Correspondence to Dr Christopher D. Riemann, Cincinnati Eye Institute, 1945 CEI Dr., Cincinnati, OH 45242, USA; [email protected] Received 19 November 2013 Revised 14 May 2014 Accepted 3 June 2014 Published Online First 25 June 2014
ABSTRACT Purpose We report a case series of patients with limited fundus view due to advanced and complex anterior segment disease that underwent combined endoscopic vitrectomy and pars plana tube shunt for intraocular pressure (IOP) control. Methods The records of 13 eyes of 11 patients operated at Cincinnati Eye Institute from 2006 to 2010 with combined endoscopic pars plana vitrectomy and pars plana tube shunt placement were retrospectively reviewed. Preoperative and postoperative IOP and visual acuity, clinical course and complications were noted. Results Nine eyes had aniridia, two had chemical burn injury, one had Axenfeld-Rieger syndrome and one had ocular trauma. Median follow-up was 18 months. Preoperative and postoperative mean LogMAR visual acuities were 1.42±0.9 and 1.24±0.7 ( p=0.55). Preoperative mean IOP was 23±9 mm Hg and improved to 12±5 mm Hg postoperatively ( p
Clinical science
Combined endoscopic vitrectomy with pars plana tube shunt procedure Adeel H Shaikh,1,2 Anup K Khatana,1,2 Jeffrey M Zink,1,2 Daniel M Miller,1,2 Michael R Petersen,1 Zelia M Correa,2 Christopher D Riemann1,2 1
Cincinnati Eye Institute, Cincinnati, Ohio, USA University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
2
Correspondence to Dr Christopher D. Riemann, Cincinnati Eye Institute, 1945 CEI Dr., Cincinnati, OH 45242, USA; [email protected] Received 19 November 2013 Revised 14 May 2014 Accepted 3 June 2014 Published Online First 25 June 2014
ABSTRACT Purpose We report a case series of patients with limited fundus view due to advanced and complex anterior segment disease that underwent combined endoscopic vitrectomy and pars plana tube shunt for intraocular pressure (IOP) control. Methods The records of 13 eyes of 11 patients operated at Cincinnati Eye Institute from 2006 to 2010 with combined endoscopic pars plana vitrectomy and pars plana tube shunt placement were retrospectively reviewed. Preoperative and postoperative IOP and visual acuity, clinical course and complications were noted. Results Nine eyes had aniridia, two had chemical burn injury, one had Axenfeld-Rieger syndrome and one had ocular trauma. Median follow-up was 18 months. Preoperative and postoperative mean LogMAR visual acuities were 1.42±0.9 and 1.24±0.7 ( p=0.55). Preoperative mean IOP was 23±9 mm Hg and improved to 12±5 mm Hg postoperatively ( p
