Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV?
Abstract Objective To study the postoperative visual outcomes and surgical complications of anterior/pars plana vitrectomy and concurrent Yamane’s IOL fixation for crystalline lens dislocation. Methods Fifty-three patients (56 eyes) with crystalline lens subluxation/dislocation were enrolled in this...
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-023-03204-9 |
| _version_ | 1797577374926110720 |
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| author | Yong Tang Shiqi Yao Yanhua Chu Quanhong Han |
| author_facet | Yong Tang Shiqi Yao Yanhua Chu Quanhong Han |
| author_sort | Yong Tang |
| collection | DOAJ |
| description | Abstract Objective To study the postoperative visual outcomes and surgical complications of anterior/pars plana vitrectomy and concurrent Yamane’s IOL fixation for crystalline lens dislocation. Methods Fifty-three patients (56 eyes) with crystalline lens subluxation/dislocation were enrolled in this retrospective interventional study. Patients received anterior/pars plana vitrectomy and concurrent Yamane’s IOL fixation. Main outcome measures were postoperative BCVA and surgical complications. Proportion of spontaneous PVD and preoperative undetected retinal holes/degeneration (PURH/D) were recorded. Results Twenty-four eyes were treated with anterior vitrectomy (Group AnV) and 32 eyes with pars plana vitrectomy (Group PPV). Overall incidence of PURH/D was 10.7% (6/56). Spontaneous PVD occurred in 68.8% (24/32) in Group PPV. During six months follow-up, one case of postoperative RRD and one case of choroidal detachment occurred in Group AnV. There was no significant difference between anterior vitrectomy and PPV in the final BCVA and postoperative complications. Conclusion Anterior or pars plana vitrectomy, which are both applicable in YAMANE technique for crystalline lens dislocation, exhibit similar surgical outcomes. Patient’s age, PVD status and PURH helps to determine the route of vitrectomy. Pediatric patients might be potential candidates for transcorneal vitreolensectomy. For adult, PURH managed with total vitrectomy and intraoperative lase retinopexy might be beneficial to decrease the incidence of postoperative RRD. |
| first_indexed | 2024-03-10T22:07:22Z |
| format | Article |
| id | doaj.art-6b78491819f847848aea761024e44851 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-03-10T22:07:22Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-6b78491819f847848aea761024e448512023-11-19T12:45:33ZengBMCBMC Ophthalmology1471-24152023-11-012311910.1186/s12886-023-03204-9Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV?Yong Tang0Shiqi Yao1Yanhua Chu2Quanhong Han3Tianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin Eye Institute, Nankai University Affiliated Eye Hospital, Clinical College of Ophthalmology, Tianjin Medical UniversityTianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin Eye Institute, Nankai University Affiliated Eye Hospital, Clinical College of Ophthalmology, Tianjin Medical UniversityTianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin Eye Institute, Nankai University Affiliated Eye Hospital, Clinical College of Ophthalmology, Tianjin Medical UniversityTianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin Eye Institute, Nankai University Affiliated Eye Hospital, Clinical College of Ophthalmology, Tianjin Medical UniversityAbstract Objective To study the postoperative visual outcomes and surgical complications of anterior/pars plana vitrectomy and concurrent Yamane’s IOL fixation for crystalline lens dislocation. Methods Fifty-three patients (56 eyes) with crystalline lens subluxation/dislocation were enrolled in this retrospective interventional study. Patients received anterior/pars plana vitrectomy and concurrent Yamane’s IOL fixation. Main outcome measures were postoperative BCVA and surgical complications. Proportion of spontaneous PVD and preoperative undetected retinal holes/degeneration (PURH/D) were recorded. Results Twenty-four eyes were treated with anterior vitrectomy (Group AnV) and 32 eyes with pars plana vitrectomy (Group PPV). Overall incidence of PURH/D was 10.7% (6/56). Spontaneous PVD occurred in 68.8% (24/32) in Group PPV. During six months follow-up, one case of postoperative RRD and one case of choroidal detachment occurred in Group AnV. There was no significant difference between anterior vitrectomy and PPV in the final BCVA and postoperative complications. Conclusion Anterior or pars plana vitrectomy, which are both applicable in YAMANE technique for crystalline lens dislocation, exhibit similar surgical outcomes. Patient’s age, PVD status and PURH helps to determine the route of vitrectomy. Pediatric patients might be potential candidates for transcorneal vitreolensectomy. For adult, PURH managed with total vitrectomy and intraoperative lase retinopexy might be beneficial to decrease the incidence of postoperative RRD.https://doi.org/10.1186/s12886-023-03204-9Sutureless intrascleral fixationCrystalline lens dislocationPosterior vitreous detachmentIntraocular lens |
| spellingShingle | Yong Tang Shiqi Yao Yanhua Chu Quanhong Han Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV? BMC Ophthalmology Sutureless intrascleral fixation Crystalline lens dislocation Posterior vitreous detachment Intraocular lens |
| title | Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV? |
| title_full | Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV? |
| title_fullStr | Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV? |
| title_full_unstemmed | Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV? |
| title_short | Vitreous management in Yamane’s technique for crystalline lens dislocation: anterior vitrectomy or PPV? |
| title_sort | vitreous management in yamane s technique for crystalline lens dislocation anterior vitrectomy or ppv |
| topic | Sutureless intrascleral fixation Crystalline lens dislocation Posterior vitreous detachment Intraocular lens |
| url | https://doi.org/10.1186/s12886-023-03204-9 |
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