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经结膜无缝合27G玻璃体切除术治疗4期早产儿视网膜病变的疗效

Outcomes of transconjuctival sutureless 27-gauge vitrectomy for stage 4 retinopathy of prematurity.

作者信息

Shah Parag K, Prabhu Vishma, Narendran Venkatapathy

机构信息

Department of Pediatric Retina and Ocular Oncology, Aravind Eye Hospital, Coimbatore, Tamil Nadu 641014, India.

出版信息

World J Clin Pediatr. 2018 Feb 8;7(1):62-66. doi: 10.5409/wjcp.v7.i1.62.

DOI:10.5409/wjcp.v7.i1.62
PMID:29456934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5803567/
Abstract

AIM

To report our initial experience with lens-sparing vitrectomy for stage 4 retinopathy of prematurity using the 27-gauge (G) system.

METHODS

This retrospective case series involved nine eyes of five babies with active stage 4 ROP, who underwent 27-G lens-sparing vitrectomy. Surgery was done using 27-G valved cannulas and sclerotomies were made 1.5 mm from the limbus. Bilateral sequential vitrectomy was done in eight eyes.

RESULTS

At one-year follow-up, anatomical outcome was favourable in all nine (100%) eyes. High-speed cutting and smaller sclerotomies were helpful in reducing the intra and post-operative complications.

CONCLUSION

27-G vitrectomy is well suited for stage 4 ROP surgeries.

摘要

目的

报告我们使用27号（G）系统对4期早产儿视网膜病变进行保留晶状体玻璃体切除术的初步经验。

方法

该回顾性病例系列包括5例患有活动性4期ROP的婴儿的9只眼，这些婴儿接受了27G保留晶状体玻璃体切除术。手术使用27G带阀套管进行，巩膜切口在角膜缘1.5毫米处制作。8只眼进行了双侧序贯玻璃体切除术。

结果

在一年的随访中，所有9只（100%）眼的解剖学结果良好。高速切割和较小的巩膜切口有助于减少术中及术后并发症。

结论

27G玻璃体切除术非常适合4期ROP手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b13d/5803567/c751a69abdb9/WJCP-7-62-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b13d/5803567/6279950d2c67/WJCP-7-62-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b13d/5803567/c751a69abdb9/WJCP-7-62-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b13d/5803567/6279950d2c67/WJCP-7-62-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b13d/5803567/c751a69abdb9/WJCP-7-62-g002.jpg

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