clinical effect of anterior vitrectomy for congenital cataract

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ID: 167040
2015
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Abstract
AIM: To evaluate the clinical efficacy of posterior continuous curvilinear capsulorhexis(PCCC)combined with anterior vitrectomy in preventing posterior capsule opacification of congenital cataract surgery.

METHODS: Postoperative clinical follow-up data of 82 cases(87 eyes)with congenital cataract treated in Eye Center of our hospital from January 2011 to August 2014 were retrospectively analyzed. The patients were divided into the surgical control group(38 cases, 40 eyes, recieved phacoemulsification + PCCC)and the study group(44 cases, 47 eyes, accepted phacoemulsification + PCCC + anterior vitrectomy). The incidence of central optic axis opaque and postoperative visual acuity distribution were recorded at 1a follow-up. Intraoperative and postoperative complications were observed.

RESULTS: The rate of central optic axis opaque grade 0 in control group was 37.5%, compared to 76.6% in study groups. The opacity distribution ratio of grade 1,2,3 and 4 in study group were lower than that of control group, and the central optic axis opacity distribution ratio in study group was significantly better than that of control group(P<0.05). The 19 eyes(47.5%)of visual acuity testing ≤0.5 in control group, was higher than the 7 eyes(14.89%)of that in the study group, The 21 eyes(52.5%)of visual acuity testing >0.5 in control group was lower than the 40 eyes(85.11%)of that in study group. The visual acuity between two groups has statistical significance difference after 1a follow-up(P<0.05), and the visual acuity in study group was significantly better than that in the control group. The postoperative intraocular pressure at 1mo and 1a follow-up was lower than before operation in two groups(P<0.05), but there was no significant difference between two groups in intraocular pressure(P<0.05).

CONCLUSION: Combination of phacoemulsification, PCCC and anterior vitrectomy presents reliable clinical effects on postoperative central optic axis opacity distribution ratio and visual acuity, and it should be adopted to prevent the occurrence of posterior capsule opacification.

Reference Key
he2015guojiclinical Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Hua He;Feng Zhou;Qi Zhu;Qian Wang;Xue-Mei Wu;Jian Ma;Ya-Yun Wang
Journal journal of fungi
Year 2015
DOI
10.3980/j.issn.1672-5123.2015.5.21
URL
http://ies.ijo.cn/cn_publish/2015/5/201505021.pdf
Keywords
congenital cataract phacoemulsification conbercept; intravitreal injection; wet age-related macular degeneration; triamcinolone acetonideophthalmology

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