Application of High-speed Vitrectomy System in Combined Surgery of Anterior and Posterior Segments of the Eye
10.3969/j.issn.1674-9081.2015.01.008
- VernacularTitle:高速玻璃体切割系统在眼前后节联合手术中的应用
- Author:
Jian-Ping XIA
1
;
Ming-Yue CUI
;
Yuan-Yuan QI
;
Li-Na CHEN
;
Sheng LI
;
Fang-Tian DONG
Author Information
1. 大连市第三人民医院眼科
- Keywords:
high-speed vitrectomy;
combined surgery of anterior and posterior segments of the eye
- From:
Medical Journal of Peking Union Medical College Hospital
2015;(1):38-41
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the application of high-speed vitrectomy system in combined surgery of phacoemulsification and vitrectomy .Methods Eighty-one patients (86 eyes) aged over 60 years with degree Ⅱlens opacity and vitreous retinal disorders treated between October 2012 and March 2013 were enrolled .The pa-tients included 43 males (46 eyes) and 38 females (40 eyes), at a mean age of (72.1 ±10.5) years (60-83 years).All the patients received routine ophthalmological examination , A/B mode ultrasound, and intraocular lens degree testing .With a 23G minimally invasive incision , phacoemulsification and intraocular lens implanta-tion were performed after closed the intraocular perfusion .With the viscoelastic agent left in the anterior cham-ber, high-speed vitrectomy was conducted using Resight noncontact wide -angle lens system , finished by filling with silicone oil , C3 F8 , or intraocular infusion fluid .Visual acuity , fundus condition , and postoperative compli-cations of the patients were observed .Results The combined surgery was successfully performed in all the pa-tients, with a mean operation time of (48.0 ±12.6) minutes (35-65 minutes).Among the 86 eyes, vision was improved in 80 eyes (93.0%), unchanged in 5 eyes (5.8%), and deteriorated in 1 eye (1.2%).After the surgery , 10 eyes (11.6%) developed corneal edema , and 25 (29.1%) showed anterior chamber reaction , all mitigated by treatment after 1 week.No other complications were reported .Conclusions For the elderly pa-tients with degree II lens opacity and the need of vitrectomy , the high-speed vitrectomy combined with phacoemul-sification and intraocular lens implantation can rapidly improve eyesight and reduce the incidence of postoperative complications .
