From the Cincinnati Eye Institute (Thornton, Snyder) and the Department of Ophthalmology (Snyder), University of Cincinnati, Cincinnati, the Boonshoft School of Medicine (McMains), Wright State University, Dayton, and Parschauer Eye Center (Thornton), Sandusky, Ohio, USA.
From the Cincinnati Eye Institute (Thornton, Snyder) and the Department of Ophthalmology (Snyder), University of Cincinnati, Cincinnati, the Boonshoft School of Medicine (McMains), Wright State University, Dayton, and Parschauer Eye Center (Thornton), Sandusky, Ohio, USA.
J Cataract Refract Surg. 2018 Jul;44(7):878-883. doi: 10.1016/j.jcrs.2018.05.004. Epub 2018 Jun 13.
To report the safety and efficacy of single-port pars plana anterior vitrectomy.
Cincinnati Eye Institute, Cincinnati, Ohio, USA.
Retrospective case series.
Eyes that had anterior vitrectomy from September 2010 to June 2016 were electronically identified. Charts were reviewed for demographics, history of ocular trauma, underlying ocular or systemic comorbidity, surgical indications, outcomes, and postoperative complications.
The mean postoperative follow-up was 10.9 months with a mean patient age of 62.4 years. Three hundred thirty-five eyes (97.7%) were scheduled as planned anterior vitrectomies, whereas 8 eyes (2.3%) were operated on unexpectedly after posterior capsule ruptures. Eighty-two eyes (23.9%) had a history of trauma. Twenty-five eyes (7.3%) had documented postoperative cystoid macular edema (CME), whereas 7 (2.0%) of these eyes had known preoperative CME. There were 3 eyes (0.9%) with retinal detachments and 1 eye (0.3%) with a retinal tear without detachment. There were no cases of endophthalmitis and no evidence of residual vitreous prolapse in the anterior chamber in any eye postoperatively.
The safety and efficacy profile of a pars plana technique compared favorably against historical data for both coaxial and bimanual limbal clear corneal infusion and cutting. Sutureless pars plana anterior vitrectomy might be considered a safe and reliable solution for the anterior segment surgeon in managing vitreous prolapse during anterior segment surgeries.
报告单端口平坦部前段玻璃体切除术的安全性和疗效。
美国俄亥俄州辛辛那提眼科研究所。
回顾性病例系列。
电子识别 2010 年 9 月至 2016 年 6 月行前段玻璃体切除术的患者。对患者的人口统计学、眼外伤史、潜在的眼部或全身合并症、手术适应证、结果和术后并发症进行图表回顾。
平均术后随访 10.9 个月，平均患者年龄为 62.4 岁。335 只眼（97.7%）按计划行前段玻璃体切除术，8 只眼（2.3%）因后囊破裂而意外手术。82 只眼（23.9%）有外伤史。25 只眼（7.3%）有明确的术后囊样黄斑水肿（CME），而 7 只眼（2.0%）术前有 CME。3 只眼（0.9%）发生视网膜脱离，1 只眼（0.3%）发生无脱离的视网膜裂孔。术后无一例眼内炎，无任何眼内前段玻璃体残余脱垂。
与同轴和双手Limbal 透明角膜灌注和切割相比，平坦部技术的安全性和疗效良好。无缝线平坦部前段玻璃体切除术可能是前节外科医生在前节手术中处理玻璃体脱垂的安全可靠的解决方案。
