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关于永存原始玻璃体增生症(PHPV)显微手术治疗的建议(作者译)

[A suggestion on the microsurgical treatment of the persistent hyperplastic primary vitreous body (PHPV) (author's transl)].

作者信息

Lommatzsch P

出版信息

Klin Monbl Augenheilkd. 1978 Jan;172(1):44-62.

PMID:628183
Abstract

Three children suffering from PHPV are described, who originally had been sent to the hospital because of suspected retinoblastoma. Exstirpation of the PHPV after opening the anterior chamber with a corneal cut of 180 degrees under the microscope seems a recommendable treatment. The A. hyaloidea has to be observed carefully during the preparation. In order to avoid massive hemorrhage into the vitreous, it is necessary to ligate this vessel before cutting. The cosmetical results were good but the visual acuity was unsatisfactory. The problems arising after a successful operation of the PHPV are similar to those in children with unilateral cataract.

摘要

本文描述了三名患有永存原始玻璃体增生症(PHPV)的儿童,他们最初因疑似视网膜母细胞瘤被送往医院。在显微镜下以180度角膜切口打开前房后切除PHPV似乎是一种值得推荐的治疗方法。在手术过程中必须仔细观察玻璃体动脉。为避免大量出血进入玻璃体,在切断之前有必要结扎该血管。美容效果良好,但视力不尽人意。PHPV手术成功后出现的问题与单侧白内障患儿相似。

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