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Missed Posterior Vitreous Separation in a Child with PVR Reaction

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Missed Posterior Vitreous Separation in a Child with PVR Reaction

DOI: 10.3207/2145693646

The surgeon meant to have separated the posterior hyaloid.  But especially in children the vitreous separation is likely to be incomplete or non-existent at all despite vitrectomy. Leaving the hyloid in place raises the risk of a PVR reaction. As shown here the fibrous condensations were confined to the hyaloids and no relevant traction was evident on the retina. The indication for vitrectomy was a retinectomy as pressure lowering procedure in refractive glaucoma. I hope microplasmin in the future will facilitate posterior vitreous separation in vitrectomy of children.

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Author: Bernd Kirchhof
Submitted: 28/07/2009
Published: 14/08/2009
Views: 3573

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