Language
English
Publication Date
9-25-2025
Journal
Journal of VitreoRetinal Diseases
DOI
10.1177/24741264251376033
PMID
41020166
PMCID
PMC12463873
PubMedCentral® Posted Date
9-25-2025
PubMedCentral® Full Text Version
Post-print
Abstract
When encountering diseases of the anterior vitreous and peripheral retina (ie, the "middle segment" of the eye), vitreoretinal (VR) surgeons are specifically trained in surgical techniques for managing the vitreous and visualizing the peripheral retina during anterior vitrectomy, and therefore they are well equipped to address the complications of surgery involving the anterior vitreous space. This clinical update reviews and compares the current literature discussing techniques and patient outcomes related to complete pars plana vitrectomy versus incomplete, subtotal pars plana vitrectomy, and addresses the proposition of developing an abridged training curriculum for non-VR surgeons to acquire the knowledge and skills required to perform these procedures. Recent studies confirmed that operating in the anterior vitreous carries potential risk of retinal tear, retinal detachment, and other adverse events that may cause vision loss. To mitigate these risks, studies suggest that use of dedicated visualization equipment and illumination instruments are necessary for surgeons to safely perform anterior vitrectomy and recognize complications, should any occur. Performing VR surgery in the absence of wide-angle viewing systems, endoillumination, careful peripheral examinations, modern vitrectomy platforms, and appropriate training may lead to outcomes that are detrimental to patient safety.
Keywords
anterior vitreous, secondary lens, sulcus, vitreoretinal surgery, middle segment surgery
Published Open-Access
yes
Recommended Citation
Starr, Matthew R; Weng, Christina Y; Vajzovic, Lejla; et al., "Approach to Ophthalmic Surgery Involving the Anterior Vitreous: A Clinical Practice Update from the American Society of Retina Specialists" (2025). Faculty and Staff Publications. 5501.
https://digitalcommons.library.tmc.edu/baylor_docs/5501