[Surgical treatment for persistent pupillary membranes].

To explore surgical treatment for persistent pupillary membrane (PPM) and its effect.

Methods

The medical records and postoperative follow-up data for 12 consecutive patients (16 eyes), who were submitted to PPM resection in Xiangya Hospital, Central South University from March 2011 to August 2016, were retrospectively reviewed.

Results

Among 12 consecutive patients (16 eyes), 8 patients (12 eyes) with PPM and clear lens were submitted to simply PPM resection, and 4 patients (4 eyes) with PPM and cataract were submitted to PPM resection combined with cataract surgery. In the patients who received the combined operation, phacoaspiration with or without intraocular lens implantation was performed in 3 eyes or in 1 eye. In the early stage after surgery, 1 eye was complicated with a transient high intraocular pressure. In the patients who were submitted to PPM resection, the final follow-up visual acuity in 7 patients (11 eyes) were improved except 1 patient (1 eye). After the PPM resection combined with cataract surgery, the follow-up visual acuity was improved in 2 patients (2 eyes) but not in the other 2 patients (2 eyes).

Conclusion

The surgical treatment is effect on congenital pupil residual membrane. Serious membrane pupil residual membrane should be surgically treated at early stage, and amblyopia treatment after the surgery is important.