Journal of pediatric ophthalmology and strabismus · 2008
Pars plana capsulectomy and vitrectomy for posterior capsular opacification in pseudophakic children.
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Xie Lixin, Huang Yusen
Аннотация
PURPOSE: To evaluate the safety and efficacy of pars plana capsulectomy and vitrectomy for posterior capsular opacification (PCO) in pseudophakic children.
METHODS: Pars plana capsulectomy and vitrectomy was performed for PCO in 63 pseudophakic eyes of 57 children with an infusion through sutureless clear cornea. The patients' ages ranged from 3 to 12 years (mean: 5.8 +/- 1.9 years). Surgical technique, intraoperative and postoperative complications, visual acuity, intraocular pressure (IOP), and corneal endothelial cell density were recorded.
RESULTS: The surgical procedure was performed uneventfully in all patients. The mean follow-up was 2.4 +/- 1.4 years (range: 6 months to 5.2 years). During the follow-up period, no incision leakage or other complications were noted and no eye developed recurrent PCO. All eyes had an improvement of visual acuity. Mean postoperative IOP was 13.8 +/- 2.6 mm Hg (range: 8 to 19 mm Hg). Mean overall endothelial cell loss was 3.4%.
CONCLUSIONS: Pars plana capsulectomy and vitrectomy with an infusion through sutureless clear cornea appears to be a safe and effective approach for thick PCO in pseudophakic children.
METHODS: Pars plana capsulectomy and vitrectomy was performed for PCO in 63 pseudophakic eyes of 57 children with an infusion through sutureless clear cornea. The patients' ages ranged from 3 to 12 years (mean: 5.8 +/- 1.9 years). Surgical technique, intraoperative and postoperative complications, visual acuity, intraocular pressure (IOP), and corneal endothelial cell density were recorded.
RESULTS: The surgical procedure was performed uneventfully in all patients. The mean follow-up was 2.4 +/- 1.4 years (range: 6 months to 5.2 years). During the follow-up period, no incision leakage or other complications were noted and no eye developed recurrent PCO. All eyes had an improvement of visual acuity. Mean postoperative IOP was 13.8 +/- 2.6 mm Hg (range: 8 to 19 mm Hg). Mean overall endothelial cell loss was 3.4%.
CONCLUSIONS: Pars plana capsulectomy and vitrectomy with an infusion through sutureless clear cornea appears to be a safe and effective approach for thick PCO in pseudophakic children.