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.
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.
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。
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