State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, 5 Yanerdao Road, Qingdao 266071, PR China.
Br J Ophthalmol. 2010 Aug;94(8):1024-7. doi: 10.1136/bjo.2008.154633. Epub 2009 Dec 3.
To evaluate the safety and efficacy of dry pars plana posterior capsulotomy and anterior vitrectomy in paediatric cataract surgery using 25-gauge instruments.
A consecutive series of 57 paediatric patients (80 eyes) who underwent dry pars plana posterior capsulotomy and anterior vitrectomy with 25-gauge devices after in-the-bag intraocular lens (IOL) implantation were retrospectively reviewed.
The mean follow-up period was 13.7 (SD 8.3) months. All IOL were well centred in the capsular bags. No intraoperative complications were noted to be attributable to the small-gauge instruments. Postoperative hypotony (intraocular pressure <8 mm Hg) was observed in two eyes (2.5%), which spontaneously recovered within 3 days. Eight eyes (10%) had light fibrin reactions and two eyes (2.5%) had mild posterior synechiae. No reopacification of the visual axis, IOL capture, vitreous prolapse, choroidal detachment or retinal detachment was found during the follow-up.
Dry pars plana posterior capsulotomy with anterior vitrectomy using 25-gauge instruments is safe and effective for the management of posterior lens capsule and anterior vitreous in surgery for paediatric cataract.
评估 25G 器械行干性后囊膜切开联合前段玻璃体切除术治疗儿童白内障手术的安全性和有效性。
回顾性分析了 57 例（80 只眼）儿童白内障患者，这些患者均在囊袋内人工晶状体（IOL）植入后接受了 25G 器械行干性后囊膜切开联合前段玻璃体切除术。
平均随访 13.7（SD 8.3）个月。所有 IOL 均位于囊袋内，位置居中。术中未发现任何与小口径器械相关的并发症。术后 2 眼（2.5%）出现低眼压（眼压<8mmHg），3 天内自行恢复。8 眼（10%）出现轻度纤维蛋白反应，2 眼（2.5%）出现轻度后粘连。随访期间未发现后发性白内障、IOL 夹持、玻璃体脱出、脉络膜脱离或视网膜脱离。
25G 器械行干性后囊膜切开联合前段玻璃体切除术治疗儿童白内障手术中后囊膜和前段玻璃体是安全有效的。
