Volume 6 Issue 1
Jan.  2015
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Jian-ping XIA, Ming-yue CUI, Yuan-yuan QI, Li-na CHEN, Sheng LI, Fang-tian DONG. Application of High-speed Vitrectomy System in Combined Surgery of Anterior and Posterior Segments of the Eye[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(1): 38-41. doi: 10.3969/j.issn.1674-9081.2015.01.008
Citation: Jian-ping XIA, Ming-yue CUI, Yuan-yuan QI, Li-na CHEN, Sheng LI, Fang-tian DONG. Application of High-speed Vitrectomy System in Combined Surgery of Anterior and Posterior Segments of the Eye[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(1): 38-41. doi: 10.3969/j.issn.1674-9081.2015.01.008

Application of High-speed Vitrectomy System in Combined Surgery of Anterior and Posterior Segments of the Eye

doi: 10.3969/j.issn.1674-9081.2015.01.008
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  • Corresponding author: DONG Fang-tian Tel: 010-69156351, E-mail:d_fangtian@sina.com
  • Received Date: 2014-03-21
  • Publish Date: 2015-01-30
  •   Objective  To observe the application of high-speed vitrectomy system in combined surgery of phacoemulsification and vitrectomy.  Methods  Eighty-one patients (86 eyes) aged over 60 years with degree Ⅱ lens opacity and vitreous retinal disorders treated between October 2012 and March 2013 were enrolled. The patients included 43 males (46 eyes) and 38 females (40 eyes), at a mean age of (72.1±10.5)years (60-83 years). All the patients received routine ophthalmological examination, A/B mode ultrasound, and intraocular lens degree testing. With a 23G minimally invasive incision, phacoemulsification and intraocular lens implantation were performed after closed the intraocular perfusion. With the viscoelastic agent left in the anterior chamber, high-speed vitrectomy was conducted using Resight noncontact wide-angle lens system, finished by filling with silicone oil, C3F8, or intraocular infusion fluid. Visual acuity, fundus condition, and postoperative complications of the patients were observed.  Results  The combined surgery was successfully performed in all the patients, with a mean operation time of (48.0±12.6)minutes (35-65 minutes). Among the 86 eyes, vision was improved in 80 eyes (93.0%), unchanged in 5 eyes (5.8%), and deteriorated in 1 eye (1.2%). After the surgery, 10 eyes (11.6%) developed corneal edema, and 25 (29.1%) showed anterior chamber reaction, all mitigated by treatment after 1 week. No other complications were reported.  Conclusions  For the elderly patients with degree II lens opacity and the need of vitrectomy, the high-speed vitrectomy combined with phacoemulsification and intraocular lens implantation can rapidly improve eyesight and reduce the incidence of postoperative complications.
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