白内障手术期间行玻璃体平坦部切除术以预防高危对侧眼的房水错流。
Pars plana vitrectomy during cataract surgery for prevention of aqueous misdirection in high-risk fellow eyes.
作者信息
Chaudhry N A, Flynn H W, Murray T G, Nicholson D, Palmberg P F
机构信息
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, FL 33136, USA.
出版信息
Am J Ophthalmol. 2000 Mar;129(3):387-8. doi: 10.1016/s0002-9394(99)00405-5.
PURPOSE
To report the use of pars plana vitrectomy as a prophylactic measure during cataract surgery for prevention of aqueous misdirection in high-risk fellow eyes.
METHODS
Chart review of two patients with severe aqueous misdirection in their first eye at the time of cataract surgery that only responded to pars plana vitrectomy.
RESULTS
In both patients, cataract extraction with posterior chamber intraocular lens implantation was initially performed after pars plana vitrectomy, with the creation of hyaloido-capsulo-iridotomy to establish a communication between the vitreous cavity and the anterior chamber.
CONCLUSION
Pars plana vitrectomy as a prophylactic measure during cataract surgery may have a beneficial role in fellow eyes at high risk for developing aqueous misdirection.
目的
报告在白内障手术期间使用玻璃体切除术作为预防措施，以防止高危对侧眼发生房水错流。
方法
对两名患者进行病历回顾，这两名患者在白内障手术时第一眼发生严重房水错流，仅对玻璃体切除术有反应。
结果
在两名患者中，均先进行玻璃体切除术后行白内障摘除及后房型人工晶状体植入术，并进行玻璃体 - 囊膜 - 虹膜切开术以建立玻璃体腔与前房之间的沟通。
结论
在白内障手术期间，玻璃体切除术作为一种预防措施，可能对发生房水错流高危的对侧眼具有有益作用。
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