Lim K H, Yu Y S
Department of Ophthalmology, College of Medicine, Ehwa Womans University, Seoul, Korea.
Korean J Ophthalmol. 1996 Dec;10(2):124-6. doi: 10.3341/kjo.1996.10.2.124.
Persistent pupillary membranes are common congenital disorders. To reduce the surgical complications, we used vitreous scissors instead of conventionally used Vannas scissors to remove the membrane and reviewed the surgical results. Five eyes of 4 children with persistent pupillary membrane were treated by surgery. Through the 1.5 mm limbal incision, the membrane was removed by using vitreous scissors after intracameral sodium hyaluronate. After 22.6 months follow-up, all pupils of operated eyes were round and no complications associated with the surgery were found. Three eyes showed improved visual acuities after the operation. We suggest that the surgery with vitreous scissors is better than with Vannas scissors.
永存瞳孔膜是常见的先天性疾病。为减少手术并发症，我们使用玻璃体剪而非传统使用的Vannas剪来切除该膜，并回顾了手术结果。对4例患有永存瞳孔膜的儿童的5只眼进行了手术治疗。通过1.5毫米的角膜缘切口，在前房注入透明质酸钠后，使用玻璃体剪切除膜。经过22.6个月的随访，手术眼的所有瞳孔均呈圆形，未发现与手术相关的并发症。3只眼术后视力有所提高。我们认为，使用玻璃体剪进行手术比使用Vannas剪更好。
