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Staged lensectomy and vitrectomy in the management of stage 5C retinopathy of prematurity with corneal opacification:long-term follow up

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International Journal of Ophthalmology(English edition) 2022年第9期15卷 1437-1443页

作者： Ping Fei Ting-Yi Liang Jie Peng Yu Xu Jia Luo Qi Zhang Jia-Kai Li Jiao Lyu Pei-Quan Zhao Department of Ophthalmology Xinhua HospitalAffiliated to Shanghai Jiao Tong University School of MedicineShanghai 200092China

·AIM:To verify the feasibility and safety of staged lensectomy and vitrectomy in stage 5 C retinopathy of prematurity(ROP)with corneal opacification.·METHODS:This was a retrospective,interventional,consecutive case ***-two eyes of 18 stage 5 C ROP patients with corneal opacification were *** combined lensectomy and vitrectomy were not prescribed due to the invisible *** lensectomy and posterior vitrectomy were *** anatomical and visual outcomes were reviewed at the final follow-up visit.·RESULTS:The mean gestational age of ROP patients was29.3±1.6 wk(range:27-32 wk),comprising 8 males and 10 *** average birth weight was 1363.0±300.0 *** the eyes had corneal opacity and flat or disappeared anterior chambers *** eyes had complicated cataract and 7 eyes had retrolental *** eyes had posterior pupillary synechiae or ***(31.8%)eyes had vascularly active *** average interval between two procedures was 6.8±4.6 mo(2.5-18.5 mo).After surgeries,all the patients had normal anterior *** eyes had clear *** intraocular pressure of 3 eyes with glaucoma was controlled by *** eyes had ocular *** retina was reattached in 3 eyes and partially attached in 11 *** acuity ranged from no light perception to hand motion.·CONCLUSION:Staged lensectomy and vitrectomy are procedures that can halt progression to further complications and preserve some useful eyesight in stage5 C ROP patients with corneal *** earlier the lensectomy is performed,the better the prognosis is.

关键词： lensectomy vitrectomy staged surgery retinopathy of prematurity corneal opacification retinal detachment

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Vitrectomy, lensectomy and silicone oil tamponade in the management of retinal detachment associated with choroidal detachment

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International Journal of Ophthalmology(English edition) 2013年第3期6卷 337-341页

作者： Jun-Min Gui Li Jia Lei Liu Jian-Di Liu Chongqing Aier-Mega Eye Hospital Chongqing Aier Eye Hospital

AIM: To report the results of combined vitrectomy, lensectomy and silicone oil (SO) tamponade in treating primary rhegmatogenous retinal detachment (RRD) associated with choroidal detachment (CD). · METHODS: A retrospective, consecutive and case series study of 21 subjects with concurrent RRD associated with CD was conducted. All subjects underwent a standard three -port 20G pars plana vitrectomy (PPV) with lensectomy and silicone oil tamponade. Mean follow -up time was 8 months (rang from 4 to 19 months). The primary and final anatomic success rate, visual acuity and final intraocular pressure (IOP) were recorded and analyzed. ·RESULTS: Of 21 subjects, 8 were women and 13 were men. Age at presentation ranged from 22 to 75 years (mean 57.4 years). The presenting vision ranged from light perception to 0.15. The initial IOP ranged from 3mmHg to 12mmHg (mean 6.2mmHg). All eyes were phakic except one pseudophakic. No intraocular lens was implanted during the primary surgical intervention. Fifteen of 21 (71.4%) eyes had retina reattached after one operation. Six eyes had recurrent inferior retinal detachment due to proliferation. Five of them were successfully reattached after one or more additional operations. Mean IOP at final follow -up was 15.2mmHg (range from 8mmHg to 20mmHg). One case declined for further operation. The final reattachment rate was 95.2%. Visual acuity improved in 19 (90.5%) eyes, was unchanged in 1 (4.8%) eye and decreased in 1 (4.8%) eye.·CONCLUSION: Combination of vitrectomy, lensectomy and silicone tamponade is an effective method in treating RRD associated with CD, reducing the incidence of postoperative hypotony.

关键词： choroidal detachment lensectomy rhegamatogenous retinal detachment vitrectomy silicone oil

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