Mohamed Tarek A, Soliman Wael, El Sebaity Dalia M, Fathalla Ahmed M
Ophthalmology Department, Assiut University Hospital, Assiut, Egypt.
J Ophthalmol. 2017;2017:7826735. doi: 10.1155/2017/7826735. Epub 2017 Apr 20.
. To evaluate efficacy and safety of primary vitrectorhexis for posterior capsulotomy in highly myopic patients undergoing refractive lens exchange. . The study is a prospective nonrandomized interventional study. The study comprised 60 eyes of 60 myopic patients. All patients underwent refractive lens exchange (RLE) and foldable IOL implantation combined with primary posterior capsulotomy. We used a 23-gauge vitrectomy probe for the creation of the posterior capsule opening. We followed the patients for one year. . During surgery, the IOLs remained well centered in the capsular bag after creation of the capsulotomy. Postoperatively, we did not report any complications related to lens centration or changes in the posterior capsulotomy size. No eye required YAG laser posterior capsulotomy and no cases of retinal detachment (RD) occurred during the follow-up period. . Primary posterior vitrectorhexis during RLE is an efficient method in preventing the occurrence of posterior capsular opacification (PCO) and the need for YAG laser posterior capsulotomy with its possible complications.
评估在接受屈光性晶状体置换术的高度近视患者中，原发性玻璃体后脱离用于后囊切开术的有效性和安全性。本研究是一项前瞻性非随机干预性研究。该研究纳入了60例近视患者的60只眼。所有患者均接受了屈光性晶状体置换术（RLE）和可折叠人工晶状体植入术，并联合原发性后囊切开术。我们使用23G玻璃体切割探头制作后囊开口。我们对患者进行了为期一年的随访。手术过程中，制作后囊切开术后人工晶状体在囊袋内保持良好居中。术后，我们未报告任何与晶状体居中或后囊切开术大小改变相关的并发症。随访期间，无眼需要YAG激光后囊切开术，也未发生视网膜脱离（RD）病例。在RLE过程中进行原发性后玻璃体后脱离是预防后囊膜混浊（PCO）发生以及避免YAG激光后囊切开术及其可能并发症的有效方法。
