Böke W, Dannenberg K
Klin Monbl Augenheilkd. 1977 Aug;171(2):238-51.
Vitreous prolapse in cataract surgery or during the extraction of a dislocated lens; corneal dystrophy in aphacic eyes due to corneo-vitreous contact and vitreous invading the anterior chamber following perforating injury proved to be valid indications for partial transpupillary vitrectomy. In malignant glaucoma, in postoperative wound rupture following cataract extraction, in open-sky-surgery of the anterior segment of aphacic eyes and in other particular conditions, transpupillary vitrectomy may also be considered. The transpupillary approach is not indicated in retinal detachment, unless prepupillary vitreous incarceration pulling up of the retina is obvious. Transpupillary vitrectomy can be performed without much harm to the eye even in children, if indicated (congenital cataract, congenital on traumatic lens dislocation, perforating lens injury). In general the results of transpupillary vitrectomy are good. Longterm complications are relatively rare. Experiences on 208 eyes are reported in particular.
白内障手术或脱位晶状体摘除术中的玻璃体脱出；无晶状体眼中因角膜与玻璃体接触以及穿孔伤后玻璃体侵入前房导致的角膜营养不良，被证明是部分经瞳孔玻璃体切除术的有效指征。在恶性青光眼、白内障摘除术后的伤口破裂、无晶状体眼前段的开放性手术以及其他特殊情况下，也可考虑行经瞳孔玻璃体切除术。经瞳孔途径不适用于视网膜脱离，除非瞳孔前玻璃体嵌顿牵拉视网膜的情况明显。如果有指征（先天性白内障、先天性或外伤性晶状体脱位、晶状体穿孔伤），即使是儿童也可行经瞳孔玻璃体切除术，且对眼睛损害不大。一般来说，经瞳孔玻璃体切除术的效果良好。长期并发症相对少见。特别报告了208只眼的经验。
