title: Approach to cataract with persistent hyperplastic primary vitreous.
abstract: Persistent hyperplastic primary vitreous (PHPV) is a congenital anomaly in which the hyaloid vasculature persists beyond fetal life. In cases in which cataract is associated with PHPV, intraoperative bleeding is a potential complication during cataract surgery. The pars plana approach along with endocoagulation has been used in such cases. We describe an alternative approach using a Fugo plasma blade via an anterior route. This approach provides better control over the posterior capsulotomy along with minimal traction over the retina and, most important, hemostasis during surgery.
authors.affiliation: Dr R P Centre of Ophthalmic Sciences, All India institute of Medical Sciences, New Delhi, India. skhokhar38@gmail.com
authors.forename: Sudarshan
authors.initials: S
authors.lastname: Khokhar
authors.forename: Lalit Kumar
authors.initials: LK
authors.lastname: Tejwani
authors.forename: Gaurav
authors.initials: G
authors.lastname: Kumar
authors.forename: Rakhi
authors.initials: R
authors.lastname: Kushmesh
mesh_terms: D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007223:Infant; D019654:Lens Implantation, Intraocular; D008297:Male; D054514:Persistent Hyperplastic Primary Vitreous / Q000150:complications*; D014792:Visual Acuity