Michels R G
Trans Ophthalmol Soc U K (1962). 1978;98(4):458-65.
We have used vitrectomy instrumentation and techniques to treat a variety of conditions affecting the anterior segment, including: (1) Various conditions causing an occluded or inadequate pupillary space, (2) Complications of vitreous gel in the anterior chamber, (3) Growth of epithelium into the anterior chamber, (4) Selected indications for lens surgery, (5) Flat anterior chamber, (6) Total hyphaema. The vitrectomy methods provided improved capabilities, including controlled excision of intraocular tissues under optimum visualization using a closed-eye system with normal intraocular pressure and the ability to use accessory techniques such as intraocular diathermy. Although new difficulties are introduced by reliance on complex instrumentation and possible complications from excessive traction or use of large volumes of intraocular irrigating solution, our experience in using these techniques to treat selected anterior segment conditions has been, favourable.
我们已使用玻璃体切割器械和技术来治疗多种影响眼前节的病症，包括：（1）导致瞳孔空间阻塞或不足的各种病症；（2）前房玻璃体凝胶的并发症；（3）上皮细胞生长至前房；（4）晶状体手术的特定适应症；（5）无前房；（6）全前房积血。玻璃体切割方法提供了更好的操作能力，包括在正常眼压的闭眼系统下，在最佳可视化条件下对眼内组织进行可控切除，以及使用眼内透热疗法等辅助技术的能力。尽管依赖复杂器械会带来新的困难，且过度牵引或使用大量眼内冲洗液可能引发并发症，但我们使用这些技术治疗特定眼前节病症的经验是积极的。
