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婴幼儿白内障手术后的玻璃体丢失

Vitreous loss following infantile cataract surgery.

作者信息

Hiles D A, Chotiner B

出版信息

J Pediatr Ophthalmol. 1977 Jul-Aug;14(4):193-9.

PMID:894441
Abstract

Vitreous loss occurred in 50 of 475 consecutive eyes undergoing infantile cataract aspirations over a 10-year period. Vitreous loss occurred in eyes predisposed to such loss and in other eyes following the use of faulty instrumentation, poor surgical judgment, or from errors in operative technique. Vitreous loss was managed by the techniques outlined by Castroviejo and Maumanee. An analysis of this series revealed that the operative loss of vitreous in children does not predispose to undesirable sequelae. Postoperative complications are not correlated with the loss of vitreous itself, but rather with the presence of other coincident ocular pathology and/or the persistence of vitreous in or attached to anterior chamber structures. The final attained visual acuity in patients suffering vitreous loss is not different from the average of the same population. Although vitreous loss consequences may be minimized, the authors do not advocate the disturbance of the intact vitreous face either accidentally or intentionally.

摘要

在10年期间,475例连续接受婴幼儿白内障抽吸术的患儿中,有50例发生了玻璃体丢失。玻璃体丢失发生在易于出现这种情况的眼睛,以及在使用有缺陷的器械、手术判断不佳或手术技术失误后其他眼睛中。玻璃体丢失采用Castroviejo和Maumanee概述的技术进行处理。对该系列病例的分析表明,儿童手术中玻璃体丢失不会导致不良后遗症。术后并发症与玻璃体本身的丢失无关,而是与其他同时存在的眼部病变和/或玻璃体在前房结构中的残留或附着有关。发生玻璃体丢失的患者最终获得的视力与同一人群的平均视力没有差异。虽然玻璃体丢失的后果可以降至最低,但作者不主张意外或故意干扰完整的玻璃体界面。

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1
Vitreous loss following infantile cataract surgery.婴幼儿白内障手术后的玻璃体丢失
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2
Vitreous loss following infantile cataract surgery.婴幼儿白内障手术后的玻璃体丢失
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