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Visual outcomes following lensectomy and vitrectomy for combined anterior and posterior persistent hyperplastic primary vitreous. Arch Ophthalmol 1998 Sep;116(9):1190-4

Date

09/25/1998

Pubmed ID

9747677

DOI

10.1001/archopht.116.9.1190

Scopus ID

2-s2.0-0032449443 (requires institutional sign-in at Scopus site)   60 Citations

Abstract

OBJECTIVE: To determine the visual outcome after surgery for persistent hyperplastic primary vitreous using modern vitreoretinal techniques.

DESIGN: Retrospective medical record review during a 5-year period (June 1992 to June 1997). Information recorded for each patient included age, medical history, sex, results of preoperative ocular examination, age at diagnosis, procedure performed, intraoperative and postoperative complications, location and number of sclerotomy sites, type of aphakic rehabilitation, amblyopic therapy given, final visual acuity, and length of follow-up.

RESULTS: Fourteen patients who underwent surgical management of combined anterior and posterior persistent hyperplastic primary vitreous were identified. Eleven patients underwent aphakic rehabilitation and aggressive amblyopic therapy consisting of occlusive therapy for several waking hours each day. One additional older patient received aphakic rehabilitation only. Ten eyes (71%) achieved a visual acuity of 20/300 or better, and 8 (57%) obtained a final visual acuity of 20/100 or better. Average length of follow-up was 22 months (range, 4-57 months). Nine patients were fitted with an aphakic soft contact lens, 2 older patients had a posterior chamber intraocular lens placed at the time of vitrectomy, and 1 patient wore aphakic spectacles.

CONCLUSIONS: With modern vitreoretinal techniques, aphakic rehabilitation, and aggressive amblyopic therapy, useful vision can be obtained in the majority of patients with combined anterior and posterior persistent hyperplastic primary vitreous.

Author List

Mittra RA, Huynh LT, Ruttum MS, Mieler WF, Connor TB, Han DP, Pulido JS, Dev S

Author

Thomas B. Connor MD Professor in the Ophthalmology and Visual Sciences department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Amblyopia
Aphakia, Postcataract
Cataract Extraction
Child
Contact Lenses, Hydrophilic
Eye
Eye Abnormalities
Eye Diseases
Female
Follow-Up Studies
Humans
Infant
Infant, Newborn
Lens Implantation, Intraocular
Male
Retrospective Studies
Visual Acuity
Vitrectomy
Vitreous Body