Zhao Ying, Wang Pingbao, Xia Xiaobo, Tan Qian, Song Weitao, Chen Qing
Department of Ophthalmology, Xiangya Hospital, Central South University, Changsha 410008, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2018 Feb 28;43(2):204-209. doi: 10.11817/j.issn.1672-7347.2018.02.017.
To explore surgical treatment for persistent pupillary membrane (PPM) and its effect. Methods: The medical records and postoperative follow-up data for 12 consecutive patients (16 eyes), who were submitted to PPM resection in Xiangya Hospital, Central South University from March 2011 to August 2016, were retrospectively reviewed. Results: Among 12 consecutive patients (16 eyes), 8 patients (12 eyes) with PPM and clear lens were submitted to simply PPM resection, and 4 patients (4 eyes) with PPM and cataract were submitted to PPM resection combined with cataract surgery. In the patients who received the combined operation, phacoaspiration with or without intraocular lens implantation was performed in 3 eyes or in 1 eye. In the early stage after surgery, 1 eye was complicated with a transient high intraocular pressure. In the patients who were submitted to PPM resection, the final follow-up visual acuity in 7 patients (11 eyes) were improved except 1 patient (1 eye). After the PPM resection combined with cataract surgery, the follow-up visual acuity was improved in 2 patients (2 eyes) but not in the other 2 patients (2 eyes). Conclusion: The surgical treatment is effect on congenital pupil residual membrane. Serious membrane pupil residual membrane should be surgically treated at early stage, and amblyopia treatment after the surgery is important.
探讨持续性瞳孔膜（PPM）的手术治疗方法及其效果。方法：回顾性分析2011年3月至2016年8月在中南大学湘雅医院接受PPM切除术的12例连续患者（16只眼）的病历及术后随访资料。结果：12例连续患者（16只眼）中，8例（12只眼）PPM合并晶状体透明者单纯行PPM切除术，4例（4只眼）PPM合并白内障者行PPM切除联合白内障手术。联合手术患者中，3只眼或1只眼行超声乳化吸除术并植入或未植入人工晶状体。术后早期，1只眼出现短暂性高眼压并发症。接受PPM切除术的患者中，除1例（1只眼）外，7例（11只眼）末次随访视力提高。PPM切除联合白内障手术后，2例（2只眼）随访视力提高，另2例（2只眼）未提高。结论：手术治疗先天性瞳孔残膜有效。严重的膜性瞳孔残膜应早期手术治疗，术后弱视治疗很重要。
