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首页> 外文期刊>American Journal of Ophthalmology: The International Journal of Ophthalmology >23-Gauge transconjunctival pars plana vitrectomy for removal of retained lens fragments.
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23-Gauge transconjunctival pars plana vitrectomy for removal of retained lens fragments.

机译：23-QAGE逆压缩性Pars Plana Vitectomy用于去除保留的镜片碎片。

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PURPOSE: To examine the usefulness of 23-gauge pars plana vitrectomy (PPV) in removing retained lens fragments and to determine which cases require 20-gauge ultrasonic fragmentation. DESIGN: Retrospective comparative case series. METHODS: Twenty eyes in 20 consecutive patients who had 23-gauge PPV for retained lens fragments after complicated cataract surgery at Wills Eye Institute were retrospectively reviewed. Retained lens fragments were graded based on percentage of total nuclear size. Every surgical case started with 23-gauge PPV, but 1 sclerotomy was enlarged to facilitate 20-gauge ultrasonic fragmentation if all lens material could not be adequately removed. RESULTS: Twelve patients (60%) were successfully managed with 23-gauge PPV alone while 8 patients (40%) required 20-gauge ultrasonic fragmentation. The 23-gauge cases had a lower percentage of retained lens fragments (median 10%, range 0% to 75%) compared to the 20-gauge cases (median 90%, range 10% to 100%). CONCLUSION: 23-Gauge PPV is a feasible approach in the surgical management of select cases of retained lens fragments.
机译：目的：检查23尺度PARS PARA玻璃体切除术（PPV）在去除保留镜片碎片中的有用性，并确定哪种情况需要20尺度超声碎裂。设计：回顾性比较案例系列。方法：在威尔斯眼科学院复杂地审查后，20例连续20只眼睛，在威尔斯眼部学院复杂的白内障手术后患有23尺PPV。基于总核大小的百分比分级保留的镜片片段。每个手术壳都开始采用23号PPV，但如果所有透镜材料无法充分去除，则扩大了1个硬化术以促进20·尺寸超声碎片。结果：12名患者（60％）单独使用23尺度PPV成功管理，而8名患者（40％）所需的20尺超声波碎裂。与20尺度案例（中位数90％，范围为10％至100％）相比，23尺案例的保留透镜片段（中位数10％，范围为0％至75％）的百分比较低。结论：23尺PPV是一种可行的储存镜片碎片的外科手术管理方法。

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