中国斜视与小儿眼科杂志2017,Vol.25Issue(1):13-16,4.DOI:10.3969/J.ISSN.1005-328X.2017.01.004
25G玻璃体切割手术系统经角膜切口治疗先天性白内障的疗效分析
Effect of congenital cataract treated by 25-gauge vitrectomy system via corneal incision in infants
张磊 1甄静 1朴荷妮 1李情情 1叶子隆1
作者信息
摘要
Abstract
Objective To evaluate the effect and safety of treatment of congenital cataract by 25-gauge vitrectomy system via corneal incision1 in infants.Methods This is a retrospective study.We collected 15 cases (30 eyes) of congenital cataract performed with anterior vitrectorhexis,lensectomy,posterior vitrectorhexis and anterior vitrectomy using 25-gauge vitrectomy system via corneal incision.The duration of operation,closeness of the corneal incision,intraoperative and postoperative complications were analyzed.All the patients were followed up for at least 3 months.Results The average duration of operation was 8.13±1.47 (5.38-11.75) minutes,there was no wound leakage and no suture needed,no intraoperative complications were observed.Surgery in 29 eyes out of the 30 eyes was completed with the 25-gauge system alone.One eye was converted to the phacoemulsification because of the hard nucleus.2 eyes (6.7%) experienced transient elevated IOP postoperatively,all others' IOP was normal at day 1 postoperatively.The anterior chamber was well formed and inflammatory reaction was mild.The pupil was a perfect circular shape except focal pupil iris adhesions occurred in 2 eyes (6.7%).2 eyes (6.7%) developed visual axis pacification and were reoperated.Conclusions 25-gauge vitrectomy system via corneal incision appears effective and safe for the treatment of congenital cataract in infants.关键词
先天性白内障/25G玻璃体切割手术系统/角膜切口Key words
Congenital cataract/25-Gauge vitrectomy system/Corneal incision引用本文复制引用
张磊,甄静,朴荷妮,李情情,叶子隆..25G玻璃体切割手术系统经角膜切口治疗先天性白内障的疗效分析[J].中国斜视与小儿眼科杂志,2017,25(1):13-16,4.