[Problems in surgical management of persistent hyperplastic primary vitreous in children].
OBJECTIVE
To evaluate the surgical techniques that allows safe, effective removal of lens and retrolenticular fibrotic membranes in eyes with PHPV in children.


METHODS
A total of 31 children (18 boys and 13 girls) with PHPV and cataract in one eye were divided into 2 groups, according to treatment modality. High frequency ultrasonography were used to identify anatomic correlates in the eyes--before operation. Limbal cataract extraction combined with vitrectomy and removalof embryonic remnants was carried out in 17 eyes, and a posterior pars plana approach in 14 eyes.


RESULTS
In group with anterior approach, the most serious complication was corneal decompensation, in the next group--retinal detachement.


CONCLUSIONS
The anterior and the posterior surgical technique to remove cataract and tenacious retrolenticular membranes was effective but associated with high risk of intraoperative and postoperative complications. Although the surgical intervention is necessary to prevent progressive pathologic changes and to obtain the best possible visualresults in some cases.
Kanigowska
Krystyna
K
Kliniki Okulistyki Instytutu Pomnik--Centrum Zdrowia Dziecka w Warszawie.
Grałek
Miroslawa
M
Chipczyńiska
Barbara
B
Hautz
Wojciech
W
D002386:Cataract / Q000151:congenital; D002387:Cataract Extraction / Q000009:adverse effects; D002675:Child, Preschool; D005124:Eye Abnormalities / Q000503:physiopathology / Q000601:surgery*; D005128:Eye Diseases / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity; D014822:Vitreous Body / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery*