Chakraborty Debdulal, Mohanta Ayan, Bhaumik Arup
Disha Eye Hospitals, Kolkata, West Bengal, India.
Indian J Ophthalmol. 2020 Jun;68(6):1188-1191. doi: 10.4103/ijo.IJO_1675_19.
We describe the successful use of the B-HEX pupil expansion device in four cases of combined phacovitrectomy with significant cataract, non-dilating pupil, and surgical vitreoretinal pathologies including vitreous hemorrhage, inferior retinal detachment (RD) with proliferative vitreoretinopathy in an oil filled eye, recurrent rhegmatogenous RD, and macular hole with RD localized to the posterior pole in an eye with uveitic sequelae. The B-HEX remained well engaged and maintained excellent mydriasis throughout the surgery despite wide fluctuations in intraocular pressure and anterior chamber fluidics. This is the first series describing use of B-HEX for combined phacovitrectomy due to myriad causes.
我们描述了B-HEX瞳孔扩张装置在4例联合晶状体玻璃体切除术患者中的成功应用，这些患者伴有严重白内障、瞳孔无法散大以及手术性玻璃体视网膜病变，包括玻璃体积血、硅油填充眼伴有增殖性玻璃体视网膜病变的下方视网膜脱离（RD）、复发性孔源性视网膜脱离以及葡萄膜炎后遗症眼后极部局限性黄斑裂孔伴视网膜脱离。尽管眼压和前房流体动力学波动较大，但在整个手术过程中，B-HEX始终保持良好的固定状态并维持了极佳的瞳孔散大效果。这是首个描述因多种病因使用B-HEX进行联合晶状体玻璃体切除术的系列报道。
