Viscodelamination of Localized Retrolental Plaques During Lens-Sparing Vitrectomy in Eyes With Pediatric Tractional Vitreoretinopathy.
Viscodelamination of Localized Retrolental Plaques During Lens-Sparing Vitrectomy in Eyes With Pediatric Tractional Vitreoretinopathy.
复制标题
小儿牵引性玻璃体视网膜病变的保留晶状体玻璃体切除术期间局部晶状体后斑块的粘分层
DOI：
10.1097/iae.0000000000002834
复制
发表时间：
2023-03-01
影响因子：
3.3
通讯作者：
Zhao, Peiquan
中科院分区：
文献类型：
--
作者：
Lyu, Jiao;Zhang, Qi;Zhao, Peiquan
补充数字内容可在文本中获得。目的：报道小儿牵引性玻璃体视网膜病变患者在保留晶状体的玻璃体切除术中出现的局限性视网膜后斑块粘胶分层。方法：对11例中位年龄为12（4-58）个月的11只眼进行23号保留晶状体玻璃体切除术，对视网膜后斑块进行粘胶分层。5眼为4期家族性渗出性玻璃体视网膜病变，1眼为4B期早产儿视网膜病变，5眼为前后持续性胎儿血管综合征。通过粘弹性注射在伯杰空间的张力使晶状体后囊膜分离晶状体后斑块。结果：11眼中10眼晶状体后表面晶状体后斑块均被清除，无晶状体囊撕裂。在12 ~ 18个月的随访期间，家族性渗出性玻璃体视网膜病变5眼、早产儿视网膜病变1眼、持续性胎儿血管病变2眼的晶状体沿视轴保持清晰。非外伤性粘胶分层与晶状体后斑块不合并到晶状体后囊有关。所有11只眼的视网膜拖拽均逆转。结论：粘胶层析可有效地剥离儿童玻璃体视网膜病变相关的视网膜后斑块。
Supplemental Digital Content is Available in the Text. Purpose: To report viscodelamination of localized retrolental plaques during lens-sparing vitrectomy in eyes with pediatric tractional vitreoretinopathy. Methods: Viscodelamination of retrolental plaques was performed during 23-gauge lens-sparing vitrectomy in 11 eyes from 11 children with a median age (range) of 12 (4–58) months. There were five eyes with Stage 4 familial exudative vitreoretinopathy, one eye with Stage 4B retinopathy of prematurity, and five eyes with anterior–posterior persistent fetal vasculature syndrome. Retrolental plaques were separated from the posterior lens capsule by the tension of viscoelastic injection in the Berger's space. Results: In 10 of 11 eyes, retrolental plaques were removed from posterior surface of lens without capsular tearing. During the 12-month to 18-month follow-up period, lens clarity along the visual axis was retained in 5 eyes with familial exudative vitreoretinopathy, one eye with retinopathy of prematurity, and 2 of 5 eyes with persistent fetal vasculature. Atraumatic viscodelamination was associated with retrolental plaques that did not incorporate into the posterior lens capsule. Retinal dragging was reversed in all 11 eyes. Conclusion: Viscodelamination may be effective for the dissection of retrolental plaques related to pediatric vitreoretinopathy in selected cases.