Results of pars plana capsulectomy and anterior vitrectomy in cases which nd:yag capsulotomy was inappropriate
[ N/A ]
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: To evaluate pars plana capsulectomy (PPC) and anterior vitrectomy (AV) results in posterior capsule opacification (PCO), which can develop after cataract surgery, in pediatric and adult patients in which Nd:YAG laser capsulotomy cannot be performed and/or is not effective because of dense thickening of the posterior capsule. Materials and Methods: Pediatric and adult patients with PPC and AV were included in the study in different groups retrospectively. Results: Nine eyes of 6 pediatric patients and 6 eyes of 6 adults were included in the study. Mean age was 6.1 years (1-11) in the pediatric patients and 59.25 (23-80) in the adults. The mean period of PCO development was 7.6 months in the pediatric patients and 48.2 (2-60) months in the adults. In 7 eyes of 5 pediatric patients who were able to express visual acuity, preoperative best corrected visual acuity (BCVA) was logmar 1.16±0.44 (1-1.6) (Snellen equivalent SE: 0.05-0.1), while it was logmar 0.54±0.26 (0.2-1) (SE: 0.25-0.3) postoperatively. In adults preoperative BCVA was logmar 1.28±0.32 (1-1.6) (SE: finger counting at 3 meters) and it was logmar 0.80±0.2 (0.2-1) (SE: 0.16) postoperatively. At postoperative day one and at 13.6 months mean follow up, a clear optic axis and increase in BCVA were achieved in all eyes. Conclusion: PPC with AV is a preferable management when Nd:YAG laser capsulectomy cannot be performed and/or with the presence of very severe capsule thickening or in cases with cortex reminant on capsule and in cases in which Nd:YAG laser capsulotomy is not effective. We think that performing nearly 5-mm diameter posterior capsulectomy is an important factor in obtaining long period success.
Açıklama
Anahtar Kelimeler
Anterior vitrectomy, Cataract surgery, Pars plana capsulectomy, Posterior capsule opacification
Kaynak
Retina-Vitreus
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
19
Sayı
2
