Results of cataract surgery and plasma ablation posterior capsulotomy in anterior persistent hyperplastic primary vitreous.

Abstract

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.

• Authors: Rajesh Sinha, Shveta Jindal Bali, Chandrashekhar Kumar, Himanshu Shekhar, Namrata Sharma, Jeewan S Titiyal, Rasik B Vajpayee
• Journal: Middle East African journal of ophthalmology (Middle East Afr J Ophthalmol) 2013 Jul-Sep Vol. 20 Issue 3 Pg. 217-20 ISSN: 0975-1599 [Electronic] India
• PMID: 24014984 (Publication Type: Journal Article)

Topics

• Cataract Extraction (methods)
• Child, Preschool
• Female
• Humans
• Infant
• Intraocular Pressure
• Lens Capsule, Crystalline (surgery)
• Lens Implantation, Intraocular (methods)
• Male
• Persistent Hyperplastic Primary Vitreous (surgery)
• Posterior Capsulotomy (methods)
• Treatment Outcome
• Visual Acuity
• Vitrectomy (methods)