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白内障摘除术后浅前房的前部玻璃体切除术。

Anterior vitrectomy for shallow anterior chamber after cataract extraction.

作者信息

Dottan S, Levartovsky S, Oliver M

出版信息

Acta Ophthalmol (Copenh). 1982 Jun;60(3):449-54. doi: 10.1111/j.1755-3768.1982.tb03037.x.

Abstract

Pars plana anterior vitrectomy was performed in 9 patients with shallow anterior chamber after cataract extraction. Five patients had choroidal and/or ciliary body effusion (CCBE), and 4 had aphakic pupillary block (APB). Vitrectomy was performed only after medical treatment failed to restore a normal anterior chamber depth. In all patients the anterior chamber restored during surgery and remained so thereafter, although in patients with CCBE, the fundal pathology subsided days or even months later. The only surgical complication was a longstanding cystoid macular oedema in one patient. Pars plana vitrectomy would appear to have advantages over other surgical techniques, in similar circumstances.

摘要

对9例白内障摘除术后前房变浅的患者实施了前段玻璃体切除术。5例患者存在脉络膜和/或睫状体脱离(CCBE),4例存在无晶状体瞳孔阻滞(APB)。仅在药物治疗未能恢复正常前房深度后才进行玻璃体切除术。所有患者在手术过程中前房恢复,此后一直保持如此,尽管在CCBE患者中,眼底病变在数天甚至数月后才消退。唯一的手术并发症是1例患者出现长期的黄斑囊样水肿。在类似情况下,前段玻璃体切除术似乎比其他手术技术更具优势。

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