Shimomura Y, Hosotani H, Kiritoshi A, Watanabe H, Tano Y
Department of Ophthalmology, Osaka University Medical School, Japan.
Jpn J Ophthalmol. 1997 Jul-Aug;41(4):251-4. doi: 10.1016/s0021-5155(97)00046-4.
We evaluated the effectiveness of performing a core vitrectomy to prevent intraoperative posterior chamber pressure evaluation in eyes at high risk for development of this complication, prior to penetrating keratoplasty, extracapsular cataract extraction and posterior chamber lens (IOL) implantation. Results in 10 cases with core vitrectomy were compared with 10 cases without (controls); in all eyes with vitrectomy, a posterior chamber IOL was easily implanted but four eyes of the control group developed vitreous complications. Our results indicate that core vitrectomy does facilitate IOL implantation during a triple corneal procedure in eyes at increased risk of elevated posterior chamber pressure.
我们评估了在穿透性角膜移植术、白内障囊外摘除术及后房型人工晶状体（IOL）植入术前，对有发生该并发症高风险的眼进行核心玻璃体切除术以预防术中后房压力升高的有效性。将10例行核心玻璃体切除术的病例与10例未行该手术的病例（对照组）进行结果比较；在所有行玻璃体切除术的眼中，后房型IOL均易于植入，但对照组中有4只眼发生了玻璃体并发症。我们的结果表明，在有后房压力升高风险增加的眼中，核心玻璃体切除术确实有助于在三联角膜手术期间植入IOL。
