Results of cataract surgery and plasma ablation posterior capsulotomy in anterior persistent hyperplastic primary vitreous
MEAJO-Middle East African Journal of Ophthalmology. 2013; 20 (3): 217-220
in English
| IMEMR
| ID: emr-130511
ABSTRACT
To report the feasibility and outcome of lens aspiration, and Fugo blade-assisted capsulotomy and anterior vitrectomy in eyes with anterior persistent hyperplastic primary vitreous [PHPV]. In this case series, 10 eyes of 10 patients with anterior PHPV underwent lens aspiration. The vascularized posterior capsule was cut with a Fugo blade [plasma knife] and removed with a vitrector. A foldable posterior chamber intraocular lens [IOL] was implanted in eight eyes and the outcomes were evaluated. The mean age of patients was 16.8 +/- 6.37 months [range 5 to 28 months]. The surgery was completed successfully in all eyes. There were no cases of intraocular hemorrhage intraoperatively. Foldable acrylic IOL was implanted in the bag in 3 eyes and in the sulcus in 5 eyes. Two eyes were microphthalmic and did no undergo IOL implantation [aphakic]. None of the eyes had a significant reaction or elevated intraocular pressure postoperatively. The follow-up ranged from 4 to 21 months. All the pseudophakic eyes achieved a best corrected visual acuity of >/= 20/200 with 50% [4/8] of these eyes with >/= 20/60 vision. Lens aspiration followed by posterior capsulotomy with Fugo blade-assisted plasma ablation is a feasible technique for performing successful lens surgery in cases with florid anterior PHPV
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Cataract Extraction
/
Treatment Outcome
/
Lens Implantation, Intraocular
/
Posterior Capsulotomy
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Middle East Afr. J. Ophthalmol.
Year:
2013
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