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Abstract #6151 Published in IGR 2-2
Surgical treatment for the complications of persistent hyperplastic primary vitreous
Ohguchi S; Suzuki J-I; Sekine N; Nakagawa TFolia Ophthalmologica Japonica / Nihon Ganka Kiyo 2000; 51: 106-109
The authors performed surgery on five eyes of four patients with complications of persistent hyperplastic vitreous (PHPV). Patient 1 underwent pars plicata lensectomy and vitrectomy for secondary glaucoma. In patient 2, cataract extraction was performed successfully by lens aspiration and anterior vitrectomy by a limbal approach. Bilateral retinal detachments in patient 3 were treated with cryopexy and an encircling buckle. In patient 4, who had retrolental fibroplasia, lensectomy and vitrectomy via a limbal approach was performed but was not successful. Moderate or severe posterior retinal pathology was present in all of the five eyes. In such cases, lensectomy and/or vitrectomy by a limbal approach is recommended to avoid retinal insertion into the sclerotomy and retinal dialysis. To treat retinal detachment, a transscleral or transvitreal approach should be chosen, depending on the degree of vitreous opacity and proliferative changes. LA: Japanese
Dr. S. Ohguchi, Department of Ophthalmology, Sapporo Medical University School of Medicine, S1 W16 Chuo-ku, Sapporo 060 8543, Japan
Classification:
9.4.11.5 Glaucomas associated with vitreoretinal surgery (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)
