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Pressure-Dependent Optic Neuropathy (Ocular Hypertension/Glaucoma) and Vitreoretinal Surgery

  • Giampaolo Gini

摘要

This chapter emphasizes the importance of assessing and addressing intraocular pressure (IOP) during and after vitreoretinal surgery to preserve visual function. Optic nerve damage resulting from increased IOP due to surgical procedures can have long-term implications, making it crucial to recognize situations where raised IOP can occur. The chapter provides insights into assessing patients before surgery, identifying risk factors for elevated IOP, and employing appropriate surgical techniques to prevent optic nerve damage. The discussion covers potential complications and practical strategies for the management of raised IOP, whether transitory, intermittent, or permanent, including the use of drainage devices, paracentesis, and vitreous taps.