Dr R P Centre of Ophthalmic Sciences, All India institute of Medical Sciences, New Delhi, India.
J Cataract Refract Surg. 2011 Aug;37(8):1382-5. doi: 10.1016/j.jcrs.2011.06.012.
Persistent hyperplastic primary vitreous (PHPV) is a congenital anomaly in which the hyaloid vasculature persists beyond fetal life. In cases in which cataract is associated with PHPV, intraoperative bleeding is a potential complication during cataract surgery. The pars plana approach along with endocoagulation has been used in such cases. We describe an alternative approach using a Fugo plasma blade via an anterior route. This approach provides better control over the posterior capsulotomy along with minimal traction over the retina and, most important, hemostasis during surgery.
永存原始玻璃体增生症 (PHPV) 是一种先天性异常，其中玻璃血管在胎儿期后持续存在。在白内障合并 PHPV 的情况下，术中出血是白内障手术中的潜在并发症。在这种情况下，通常采用经睫状体平坦部的方法联合眼内电凝。我们描述了一种通过前入路使用 Fugo 等离子刀的替代方法。这种方法在进行后囊切开时能够更好地控制，对视网膜的牵引力最小，最重要的是，在手术过程中能够止血。
