Ahead of print publication  

Pars Plana Vitrectomy in a Patient with Severe Chronic Titubation

1 University of Uyo, Uyo, Akwa-Ibom State, Nigeria
2 Department of Ophthalmology, University College Hospital, University of Ibadan, Ibadan, Oyo, Nigeria
3 Dr. Agarwal’s Eye Hospital, Accra, Ghana
4 University of Calabar, Calabar, Cross River, Nigeria

Date of Submission19-Jun-2022
Date of Decision06-Sep-2022
Date of Acceptance12-Sep-2022
Date of Web Publication07-Nov-2022

Correspondence Address:
Emmanuel Olu Megbelayin,
University of Uyo, Uyo, Akwa-Ibom State
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njo.njo_11_22


Surgeries on head and neck structures can be very challenging in individuals with titubation from any cause. Head tremor or titubation is a classic feature of Parkinson’s disease (PD) and Parkinsonism due to depletion of dopaminergic neurons in the substantia nigra pars compacta. A literature search using keywords such as head tremor, titubation, PD, eye surgery was carried out in English in major databases archiving medical literature like Google Scholar, Hinari, Scopus, and PubMed. Pars plana vitrectomy (PPV) was successfully carried out in a patient with titubation. A simple head support could ameliorate head tremors to enable performance of eye surgeries.

Keywords: Head tremors, parkinson’s disease, titubation, vitrectomy

How to cite this URL:
Megbelayin EO, Babalola YO, Seneadza A, Okonkwo SN. Pars Plana Vitrectomy in a Patient with Severe Chronic Titubation. Niger J Ophthalmol [Epub ahead of print] [cited 2023 Jan 30]. Available from:



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    -  Megbelayin EO
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