Short-term outcomes of dry pars plana posterior capsulotomy and anterior vitrectomy in paediatric cataract surgery using 25-gauge instruments
Short-term outcomes of dry pars plana posterior capsulotomy and anterior vitrectomy in paediatric cataract surgery using 25-gauge instruments
复制标题
使用 25 号仪器进行小儿白内障手术中干性平坦部后囊切开术和前玻璃体切除术的短期结果
DOI：
10.1136/bjo.2008.154633
复制
发表时间：
2010-08-01
影响因子：
4.1
通讯作者：
Xie, L.
中科院分区：
文献类型：
--
作者：
Huang, Y.;Xie, L.
目的评价干性平坦部、后囊切开术和前段玻璃体切开术在儿童白内障手术中的安全性和有效性。方法回顾分析57例(80眼)儿童囊袋内人工晶状体植入术后行干性扁平部后囊膜切开术和前部玻璃体切割术的临床资料。结果平均随访13.7(SD 8.3)个月。所有人工晶状体均位于囊袋内。术中未发现可归因于小口径器械的并发症。2只眼(2.5%)术后出现低眼压(眼压<8 mm Hg)，术后3 天内自行恢复。8只眼(10%)有轻度纤维蛋白反应，2只眼(2.5%)有轻度后粘连。随访期间未发现视轴再混浊、人工晶状体夹持、玻璃体脱出、脉络膜脱离、视网膜脱离等并发症。结论干性平坦部后囊膜切开术联合前段玻璃体切开术是儿童白内障手术中处理晶状体后囊和前段玻璃体的安全、有效的方法。
Aim To evaluate the safety and efficacy of dry pars plana posterior capsulotomy and anterior vitrectomy in paediatric cataract surgery using 25-gauge instruments. Methods A consecutive series of 57 paediatric patients (80 eyes) who underwent dry pars plana posterior capsulotomy and anterior vitrectomy with 25-gauge devices after in-the-bag intraocular lens (IOL) implantation were retrospectively reviewed. Results The mean follow-up period was 13.7 (SD 8.3) months. All IOL were well centred in the capsular bags. No intraoperative complications were noted to be attributable to the small-gauge instruments. Postoperative hypotony (intraocular pressure <8 mm Hg) was observed in two eyes (2.5%), which spontaneously recovered within 3 days. Eight eyes (10%) had light fibrin reactions and two eyes (2.5%) had mild posterior synechiae. No reopacification of the visual axis, IOL capture, vitreous prolapse, choroidal detachment or retinal detachment was found during the follow-up. Conclusions Dry pars plana posterior capsulotomy with anterior vitrectomy using 25-gauge instruments is safe and effective for the management of posterior lens capsule and anterior vitreous in surgery for paediatric cataract.