Pupilloplasty by radiofrequency diathermy
Pupilloplasty by radiofrequency diathermy
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射频透热疗法瞳孔成形术
DOI：
10.1111/aos.13827
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发表时间：
2019
影响因子：
3.4
通讯作者：
Chen Weirong
中科院分区：
文献类型：
--
作者：
Xiang Wu;Zhong Xiaojian;Chen Hui;Chen Wan;Chen Weirong
目的报道了几种治疗瞳孔畸形的方法。然而，这些方法也有一些缺点。在此，我们介绍一种新的瞳孔成形术。方法回顾性收集5例因有眼膜或严重瞳孔纤维膜而行射频热疗（RFD）瞳孔成形术的患者。在注射眼球粘手术装置（OVD）后，将RFD尖端插入前房。然后用于切除瞳孔中心周围的虹膜和纤维膜，以恢复中心和圆形瞳孔。结果应用RFD技术切除虹膜及纤维膜均未见明显出血。所有病例均治疗成功，瞳孔透明恢复。结论RFD瞳孔成形术操作简单，出血少，适用于大多数类型的瞳孔闭锁，尤其适用于有脓肿和严重的瞳孔纤维膜。
PurposeSeveral methods have been reported to treat pupil deformities. However, there are some disadvantages to these methods. Here, we introduce the new technique of pupilloplasty.MethodsWe retrospectively collected five patients who underwent pupilloplasty by radiofrequency diathermy (RFD) in eyes with acorea or a severe pupillary fibrous membrane. The RFD tip was inserted into the anterior chamber after injection of an ophthalmic viscosurgical device (OVD). It was then used to resect the iris and fibrous membrane around the pupillary centre to restore a centred and round pupil.ResultsNo obvious bleeding was observed during resection of the iris or fibrous membrane with the RFD technique. All cases were successfully treated, and pupil transparency was restored.ConclusionWe introduced a new technique of pupilloplasty by RFD that is easily manageable, reduces bleeding, and is suitable for most types of pupillary seclusion, especially for acorea and severe pupillary fibrous membrane.