Abstract
To present an alternate technique for safely performing pars plana vitrectomy (PPV) for patients with extremely deep-set eyes or prominent brow ridges. 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. Twenty-five-gauge PPV with epiretinal membrane peeling and intraocular lens suturing was performed safely. PPV can be performed from a temporal approach if the access to the superior conjunctiva is limited.
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