PURPOSE: To present an alternate technique for safely performing pars plana vitrectomy (PPV) for patients with extremely deep-set eyes or prominent brow ridges. PATIENT AND 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. CONCLUSION: PPV can be performed from a temporal approach if the access to the superior conjunctiva is limited.
PURPOSE: To present an alternate technique for safely performing pars plana vitrectomy (PPV) for patients with extremely deep-set eyes or prominent brow ridges. PATIENT AND 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. CONCLUSION: PPV can be performed from a temporal approach if the access to the superior conjunctiva is limited.