Pars plana vitrectomy from a temporal approach for a patient with a deep orbit.
OBJECTIVE
To present an alternate technique for safely performing pars plana vitrectomy (PPV) for patients with extremely deep-set eyes or prominent brow ridges.


METHODS
A single patient with a very deep orbit and severe glaucoma that limited the surgeon's ability to operate on the superior conjunctiva underwent 25-gauge PPV with the surgeon seated temporally.


RESULTS
Twenty-five-gauge PPV with epiretinal membrane peeling and intraocular lens suturing was performed safely.


CONCLUSIONS
PPV can be performed from a temporal approach if the access to the superior conjunctiva is limited.
From the Department of Ophthalmology, University of California at San Francisco, San Francisco, California.
Ricardo C
RC
Closa
Luciano S
LS
Pereira
Har Hiu D
HH
Lam
Jay M
JM
Stewart