Results of Cataract Surgery and Plasma Ablation Posterior Capsulotomy in Anterior Persistent Hyperplastic Primary Vitreous

PURPOSE: To report the feasibility and outcome of lens aspiration, and Fugo blade-assisted capsulotomy and anterior vitrectomy in eyes with anterior persistent hyperplastic primary vitreous (PHPV). MATERIALS AND METHODS: In this case series, 10 eyes of 10 patients with anterior PHPV underwent lens a...

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Autores principales: Sinha, Rajesh, Bali, Shveta Jindal, Kumar, Chandrashekhar, Shekhar, Himanshu, Sharma, Namrata, Titiyal, Jeewan S., Vajpayee, Rasik B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3757630/
https://www.ncbi.nlm.nih.gov/pubmed/24014984
http://dx.doi.org/10.4103/0974-9233.114794
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author Sinha, Rajesh
Bali, Shveta Jindal
Kumar, Chandrashekhar
Shekhar, Himanshu
Sharma, Namrata
Titiyal, Jeewan S.
Vajpayee, Rasik B.
author_facet Sinha, Rajesh
Bali, Shveta Jindal
Kumar, Chandrashekhar
Shekhar, Himanshu
Sharma, Namrata
Titiyal, Jeewan S.
Vajpayee, Rasik B.
author_sort Sinha, Rajesh
collection PubMed
description PURPOSE: To report the feasibility and outcome of lens aspiration, and Fugo blade-assisted capsulotomy and anterior vitrectomy in eyes with anterior persistent hyperplastic primary vitreous (PHPV). MATERIALS AND METHODS: In this case series, 10 eyes of 10 patients with anterior PHPV underwent lens aspiration. The vascularized posterior capsule was cut with a Fugo blade (plasma knife) and removed with a vitrector. A foldable posterior chamber intraocular lens (IOL) was implanted in eight eyes and the outcomes were evaluated. RESULTS: The mean age of patients was 16.8 ± 6.37 months (range: 5 to 28 months). The surgery was completed successfully in all eyes. There were no cases of intraocular hemorrhage intraoperatively. Foldable acrylic IOL was implanted in the bag in 3 eyes and in the sulcus in 5 eyes. Two eyes were microphthalmic and did no undergo IOL implantation (aphakic). None of the eyes had a significant reaction or elevated intraocular pressure postoperatively. The follow-up ranged from 4 to 21 months. All the pseudophakic eyes achieved a best corrected visual acuity of ≥20/200 with 50% (4/8) of these eyes with ≥20/60 vision. CONCLUSION: Lens aspiration followed by posterior capsulotomy with Fugo blade-assisted plasma ablation is a feasible technique for performing successful lens surgery in cases with florid anterior PHPV.
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spelling pubmed-37576302013-09-06 Results of Cataract Surgery and Plasma Ablation Posterior Capsulotomy in Anterior Persistent Hyperplastic Primary Vitreous Sinha, Rajesh Bali, Shveta Jindal Kumar, Chandrashekhar Shekhar, Himanshu Sharma, Namrata Titiyal, Jeewan S. Vajpayee, Rasik B. Middle East Afr J Ophthalmol Original Article PURPOSE: To report the feasibility and outcome of lens aspiration, and Fugo blade-assisted capsulotomy and anterior vitrectomy in eyes with anterior persistent hyperplastic primary vitreous (PHPV). MATERIALS AND METHODS: In this case series, 10 eyes of 10 patients with anterior PHPV underwent lens aspiration. The vascularized posterior capsule was cut with a Fugo blade (plasma knife) and removed with a vitrector. A foldable posterior chamber intraocular lens (IOL) was implanted in eight eyes and the outcomes were evaluated. RESULTS: The mean age of patients was 16.8 ± 6.37 months (range: 5 to 28 months). The surgery was completed successfully in all eyes. There were no cases of intraocular hemorrhage intraoperatively. Foldable acrylic IOL was implanted in the bag in 3 eyes and in the sulcus in 5 eyes. Two eyes were microphthalmic and did no undergo IOL implantation (aphakic). None of the eyes had a significant reaction or elevated intraocular pressure postoperatively. The follow-up ranged from 4 to 21 months. All the pseudophakic eyes achieved a best corrected visual acuity of ≥20/200 with 50% (4/8) of these eyes with ≥20/60 vision. CONCLUSION: Lens aspiration followed by posterior capsulotomy with Fugo blade-assisted plasma ablation is a feasible technique for performing successful lens surgery in cases with florid anterior PHPV. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3757630/ /pubmed/24014984 http://dx.doi.org/10.4103/0974-9233.114794 Text en Copyright: © Middle East African Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Sinha, Rajesh
Bali, Shveta Jindal
Kumar, Chandrashekhar
Shekhar, Himanshu
Sharma, Namrata
Titiyal, Jeewan S.
Vajpayee, Rasik B.
Results of Cataract Surgery and Plasma Ablation Posterior Capsulotomy in Anterior Persistent Hyperplastic Primary Vitreous
title Results of Cataract Surgery and Plasma Ablation Posterior Capsulotomy in Anterior Persistent Hyperplastic Primary Vitreous
title_full Results of Cataract Surgery and Plasma Ablation Posterior Capsulotomy in Anterior Persistent Hyperplastic Primary Vitreous
title_fullStr Results of Cataract Surgery and Plasma Ablation Posterior Capsulotomy in Anterior Persistent Hyperplastic Primary Vitreous
title_full_unstemmed Results of Cataract Surgery and Plasma Ablation Posterior Capsulotomy in Anterior Persistent Hyperplastic Primary Vitreous
title_short Results of Cataract Surgery and Plasma Ablation Posterior Capsulotomy in Anterior Persistent Hyperplastic Primary Vitreous
title_sort results of cataract surgery and plasma ablation posterior capsulotomy in anterior persistent hyperplastic primary vitreous
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3757630/
https://www.ncbi.nlm.nih.gov/pubmed/24014984
http://dx.doi.org/10.4103/0974-9233.114794
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