Approach to cataract with persistent hyperplastic primary vitreous

作者:Khokhar Sudarshan*; Tejwani Lalit Kumar; Kumar Gaurav; Kushmesh Rakhi
来源:Journal of Cataract and Refractive Surgery, 2011, 37(8): 1382-1385.
DOI:10.1016/j.jcrs.2011.06.012

摘要

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.