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Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV?
OBJECTIVE: To study the postoperative visual outcomes and surgical complications of anterior/pars plana vitrectomy and concurrent Yamane’s IOL fixation for crystalline lens dislocation. METHODS: Fifty-three patients (56 eyes) with crystalline lens subluxation/dislocation were enrolled in this retros...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10655444/ https://www.ncbi.nlm.nih.gov/pubmed/37978463 http://dx.doi.org/10.1186/s12886-023-03204-9 |
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author | Tang, Yong Yao, Shiqi Chu, Yanhua Han, Quanhong |
author_facet | Tang, Yong Yao, Shiqi Chu, Yanhua Han, Quanhong |
author_sort | Tang, Yong |
collection | PubMed |
description | OBJECTIVE: To study the postoperative visual outcomes and surgical complications of anterior/pars plana vitrectomy and concurrent Yamane’s IOL fixation for crystalline lens dislocation. METHODS: Fifty-three patients (56 eyes) with crystalline lens subluxation/dislocation were enrolled in this retrospective interventional study. Patients received anterior/pars plana vitrectomy and concurrent Yamane’s IOL fixation. Main outcome measures were postoperative BCVA and surgical complications. Proportion of spontaneous PVD and preoperative undetected retinal holes/degeneration (PURH/D) were recorded. RESULTS: Twenty-four eyes were treated with anterior vitrectomy (Group AnV) and 32 eyes with pars plana vitrectomy (Group PPV). Overall incidence of PURH/D was 10.7% (6/56). Spontaneous PVD occurred in 68.8% (24/32) in Group PPV. During six months follow-up, one case of postoperative RRD and one case of choroidal detachment occurred in Group AnV. There was no significant difference between anterior vitrectomy and PPV in the final BCVA and postoperative complications. CONCLUSION: Anterior or pars plana vitrectomy, which are both applicable in YAMANE technique for crystalline lens dislocation, exhibit similar surgical outcomes. Patient’s age, PVD status and PURH helps to determine the route of vitrectomy. Pediatric patients might be potential candidates for transcorneal vitreolensectomy. For adult, PURH managed with total vitrectomy and intraoperative lase retinopexy might be beneficial to decrease the incidence of postoperative RRD. |
format | Online Article Text |
id | pubmed-10655444 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-106554442023-11-17 Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV? Tang, Yong Yao, Shiqi Chu, Yanhua Han, Quanhong BMC Ophthalmol Research OBJECTIVE: To study the postoperative visual outcomes and surgical complications of anterior/pars plana vitrectomy and concurrent Yamane’s IOL fixation for crystalline lens dislocation. METHODS: Fifty-three patients (56 eyes) with crystalline lens subluxation/dislocation were enrolled in this retrospective interventional study. Patients received anterior/pars plana vitrectomy and concurrent Yamane’s IOL fixation. Main outcome measures were postoperative BCVA and surgical complications. Proportion of spontaneous PVD and preoperative undetected retinal holes/degeneration (PURH/D) were recorded. RESULTS: Twenty-four eyes were treated with anterior vitrectomy (Group AnV) and 32 eyes with pars plana vitrectomy (Group PPV). Overall incidence of PURH/D was 10.7% (6/56). Spontaneous PVD occurred in 68.8% (24/32) in Group PPV. During six months follow-up, one case of postoperative RRD and one case of choroidal detachment occurred in Group AnV. There was no significant difference between anterior vitrectomy and PPV in the final BCVA and postoperative complications. CONCLUSION: Anterior or pars plana vitrectomy, which are both applicable in YAMANE technique for crystalline lens dislocation, exhibit similar surgical outcomes. Patient’s age, PVD status and PURH helps to determine the route of vitrectomy. Pediatric patients might be potential candidates for transcorneal vitreolensectomy. For adult, PURH managed with total vitrectomy and intraoperative lase retinopexy might be beneficial to decrease the incidence of postoperative RRD. BioMed Central 2023-11-17 /pmc/articles/PMC10655444/ /pubmed/37978463 http://dx.doi.org/10.1186/s12886-023-03204-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Tang, Yong Yao, Shiqi Chu, Yanhua Han, Quanhong Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV? |
title | Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV? |
title_full | Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV? |
title_fullStr | Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV? |
title_full_unstemmed | Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV? |
title_short | Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV? |
title_sort | vitreous management in yamane’s technique for crystalline lens dislocation: anterior vitrectomy or ppv? |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10655444/ https://www.ncbi.nlm.nih.gov/pubmed/37978463 http://dx.doi.org/10.1186/s12886-023-03204-9 |
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