Refractive lens exchange combined with pars plana vitrectomy to correct high myopia
| Autor: | S Uhlmann, Peter Wiedemann |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Pars plana medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment Lens Capsule Crystalline Vitrectomy Astigmatism Lens Implantation Intraocular Ophthalmology Myopia medicine Humans Severe Myopia Retrospective Studies Phacoemulsification business.industry Retinal Detachment Retinal detachment Middle Aged medicine.disease eye diseases Treatment Outcome medicine.anatomical_structure Capsulotomy sense organs medicine.symptom business Follow-Up Studies |
| Zdroj: | Eye. 20:655-660 |
| ISSN: | 1476-5454 0950-222X |
| DOI: | 10.1038/sj.eye.6701933 |
| Popis: | To describe the results of refractive lens exchange (RLE) combined with simultaneous pars plana vitrectomy (PPV) in the management of severe myopia.This retrospective study comprised 14 eyes of eight patients who had RLE to treat myopia of -19.0+/-5.4 diopters (D). Phacoemulsification, posterior chamber intraocular lens (IOL) implantation, and standard three-port vitrectomy were performed. Mean postoperative follow-up time was 30 months (range 12-49).The postoperative best-corrected visual acuity (BCVA) was 0.68+/-0.23 compared to 0.37+/-0.24 preoperatively. There was no postoperative decrease in visual acuity in any eye. Mean postoperative spherical equivalent was -0.7 D (+/-1.6). At 30 months mean follow-up time, the spherical equivalents of nine eyes (64.3%) were within +/-1 D of emmetropia. There was no significant change in astigmatism due to operative procedures. During the 30 months follow-up period three eyes (21.4%) required neodymium : yttrium-aluminium-garnet (Nd : YAG) capsulotomy for posterior capsule opacification. No retinal detachments or cases of cystoid macular oedema (CME) were observed during the follow-up.RLE was effective in correcting severe myopia. The simultaneously performed PPV may reduce the risk of postoperative retinal detachment. This was a pilot study, to draw definitive conclusions a prospective study has to be initiated. |
| Databáze: | OpenAIRE |
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