[Pars plana lensectomy and anterior vitrectomy for the treatment of congenital subluxated lenses].
The conventional surgical management of congenital subluxated lenses is frequently associated with a high incidence of complications leading to poor visual prognosis. Lensectomy through the pars plana with modern techniques of microsurgery and automated suction-cutting devices was performed on 11 patients (18 eyes) whose pre-operative visual acuities with the best optical correction ranged from 0.05-0.3, which were improved postoperatively to 0.5-1.0 during a follow-up of 3 to 60 months with an average of 36 months. The complications were accidental small cuts at the pupillary borders of 3 eyes, indicating that pars plana lensectomy is a safe procedure for the treatment of congenital subluxated lenses.
Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou.
X M
XM
Guo
Y Z
YZ
Chen
L H
LH
Zeng
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004479:Ectopia Lentis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007908:Lens, Crystalline / Q000601:surgery*; D008297:Male; D008382:Marfan Syndrome / Q000150:complications; D008866:Microsurgery; D014792:Visual Acuity; D014821:Vitrectomy