继发于早产儿视网膜病变的4A期和4B期的视网膜脱离在进行3通道保留晶状体的玻璃体切除术后的晶状体透明性

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Objective: To assess lens clarity after 3-port lens-sparing vitrectomy for stages 4A and 4B tractional retinal detachment secondary to retinopathy of prematurity. Methods: In a retrospective, interventional, consecutive clinical case series, 108 eyes of 102 patients who underwent lens-sparing vitrectomy for stages 4A and 4B tractional retinal detachment from February 1, 1998, through January 31, 2004, were reviewed. All procedures and follow-up examinations were performed by a single surgeon. Lens clarity was assessed at the final follow-up examination. Results: Of the 108 eyes reviewed, 102 (94.4%)maintained clear lenses at the final follow-up examination, which ranged from 6 to 48 months (mean, 32months) after the procedure. Thirty-two eyes had stage 4A detachments and 76 eyes had stage 4B. Conclusions: Three-port lens-sparing vitrectomy may be performed with relatively low risk of cataract formation during the early postoperative period. Maintenance of a clear crystalline lens during the critical period of visual development may lead to better functional outcomes. Objective: To assess the lens clarity after 3-port lens-sparing vitrectomy for 4A and 4B tractional retinal detachment secondary to retinopathy of prematurity. Methods: In a retrospective, interventional, consecutive clinical case series, 108 eyes of 102 patients who underwent lens- All procedures and follow-up examinations were performed by a single surgeon. Lens clarity was assessed at the final follow-up examination Results: Of the 108 eyes reviewed, 102 (94.4%) maintained clear lenses at the final follow-up examination, which ranged from 6 to 48 months (mean, 32months) after the procedure. Thirty-two eyes had stage 4A detachments and 76 eyes had stage 4B. Conclusions: Three-port lens-sparing vitrectomy may be performed with cataract formation during the early postoperative period. Maintenance of a clear crystalline lens durin g the critical period of visual development may lead to better functional outcomes.
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