Nd:YAG vitreolysis and pars plana vitrectomy: surgical treatment for vitreous floaters

  title={Nd:YAG vitreolysis and pars plana vitrectomy: surgical treatment for vitreous floaters},
  author={Yvonne M. Delaney and Adewale Olaotan Oyinloye and Larry Benjamin},
Purpose of study To determine the efficacy of Nd:YAG vitreolysis and pars plana vitrectomy in the treatment of vitreous floaters.Methods This is a single centre retrospective study of 31 patients (42 eyes) who underwent 54 procedures, Nd:YAG vitreolysis or pars plana vitrectomy, for the treatment of vitreous floaters between January 1992 and December 2000. Main outcome measures were percentage symptomatic improvement following treatment and incidence of post-operative complications. Statistical… 

Pars plana vitrectomy for disturbing primary vitreous floaters: clinical outcome and patient satisfaction

Pars plana vitrectomy is an effective approach to treat primary vitreous floaters, resulting in a high rate of patient satisfaction and postoperative complications, and additional preventive measures should be considered to reduce this complication rate.

Small-Gauge Pars Plana Vitrectomy for the Management of Symptomatic Posterior Vitreous Detachment after Phacoemulsification and Multifocal Intraocular Lens Implantation: A Pilot Study from the Pan-American Collaborative Retina Study Group

Patients who developed symptomatic PVD and were not satisfied with visual quality due to floaters and halos after multifocal IOL implantation underwent PPV, and postoperative UCVA and questionnaire results were compared to preoperative findings using the Wilcoxon test.

Efficacy and safety of Nd:YAG laser vitreolysis for symptomatic vitreous floaters: A randomized controlled trial

Vitreolysis with Nd:YAG laser improves visual results in patients with symptomatic vitreous floaters, without adverse events considered clinically relevant, in a prospective double-blinded clinical trial.

Surgical Outcomes of 27-Gauge Pars PLana Vitrectomy for Symptomatic Vitreous Floaters

Visual acuity of most patients remained unchanged or improved following 27-gague pars plana vitrectomy for symptomatic vitreous floaters, resulting in high patient satisfaction, however, this treatment should be performed with great caution since severe postoperative complications may still occur.

Pars Plana Vitrectomy for Symptomatic Vitreous Floaters: Another Look

PPV can be a safe and efficacious surgical therapy to improve patient quality of life by improving symptoms from floaters and 100% of patients surveyed noted subjective improvement following floaterectomy.

The effectiveness of laser vitreolysis for vitreous floaters in posterior vitreous detachment

Vitreolysis by Nd:YAG laser improved the CFS and VRQoL in symptomatic PVD patients and there was improvement in the median of four subscales in NEI VFQ-25 scores post treatment.

["Floaterectomy"--pars-plana-vitrectomy for vitreous opacities].

Pars plana vitrectomy for vitreous opacities is safe and effective, and careful patient selection is crucial.

The Efficacy and Safety of YAG Laser Vitreolysis for Symptomatic Vitreous Floaters of Complete PVD or Non-PVD

Improved subjective and objective visual quality in participants with symptomatic floaters following YAG laser vitreolysis was found in both groups and was comparable in floaters of complete PVD and non-PVD types.

Nd:YAG Laser Vitreolysis for Symptomatic Vitreous Floaters: Application of Infrared Fundus Photography in Assessing the Treatment Efficacy

Nd:YAG vitreolysis was effective and safe in alleviating the visual symptoms induced by floaters and quantification of floater shadow areas on infrared fundus photography could serve as an objective index for assessing treatment efficacy.

Rapid Cataract Progression after Nd:YAG Vitreolysis for Vitreous Floaters: A Case Report and Literature Review

Clinicians should be aware of the possibility of posterior lens capsule rupture during surgery and the need for combined vitrectomy after Nd:YAG vitreolysis for vitreous floaters for symptomatic floaters.



Closed vitreous surgery. XVII. Results and complications of pars plana vitrectomy.

Multiple procedures seemed to predispose eyes undergoing vitrectomy to rubeosis, especially in diabetic patients, and fibrous ingrowth into the vitreous through the sclerotomy was seen in five eyes and was associated with retinal detachment in one.

Q-switched neodymium YAG laser vitreolysis in the therapy of posterior segment disease

The experience of ten cases of posterior segment vitreolysis, using the short-pulse neodymium YAG (Yittrium Aluminium Garnate) laser suggests that this technique has an important role in the treatment of selected patients, sparing patients conventional vitrectomy, or making possible the Treatment of those for whom vit rectomy has been contraindicated or refused.

Pars plana vitrectomy. Vitrectomy treatment of vitreous opacities.

Twenty-one patients suffering from vitreous opacities caused by central- and branch-vein occlusion, sickle cell retinopathy, retinal vasculitis, endophthalmitis, hypertensive retinopathic, and uveitis underwent pars plana vitrectomy with the vitrophage, and visual acuity improved in 95% of patients and was worse in 5% of the patients.


Although no major surgical complications occurred in this series, the potential for serious complications exists, and pars plana vitrectomy (PPV) should be considered only after less invasive diagnostic evaluations and therapeutic approaches have been exhausted.


The results of this study suggest that liquefaction of the vitreous begins at a relatively young age in patients with high myopia and progresses with age and axial elongation, thus resulting in a frequent occurrence of PVD.