Outcomes of small gauge pars plicata vitrectomy for patients with persistent fetal vasculature: a report of 105 cases
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Ning-Pu Liu. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, No.1 Dong Jiao Min Xiang, Dongcheng District, Beijing 100730, China. nliu001@gmail.com

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Supported by Beijing Tongren Hospital, Capital Medical University (No.TRZDYXZY201703); Beijing Municipal Science &Technology Commission (No.Z141107002514029).

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    Abstract:

    AIM: To evaluate the surgical outcomes in eyes with persistent fetal vasculatures (PFV) managed by small gauge pars plicata vitrectomy. METHODS: Consecutive patients with PFV treated by small gauge pars plicata vitrectomy at Beijing Tongren Eye Center between January 2010 and January 2013 were retrospectively reviewed. RESULTS: A total of 118 eyes of 105 patients with PFV were included and undergone small gauge pars plicata vitrectomy, of which 84 (71.2%) eyes had lensectomy and 16 (13.6%) eyes had lens aspiration and immediate intraocular lens implantation. The percentage of sutured scleral incision of 23 gauge vitrectomy (71.7%, 33/46) was higher than that of the 25 gauge vitrectomy (18.1%, 13/72). At last follow-up, visual acuity remained stable in 34 eyes (28.8%) and improved in 84 eyes (71.2%). Age at surgery (less than 2y), anterior type of PFV, and immediate IOL implantation were associated with postoperative improved visual acuity. Sixty five (55.1%) eyes had retinal detachment preoperatively, among which 33 (50.8%, 33/65) eyes had retinal reattachment or partial retinal reattachment. CONCLUSION: The results suggest that cases with PFV have a potential for developing good visual acuity after small gauge pars plicata vitrectomy with favorable anatomic outcomes and acceptable rate of serious surgical complications.

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Jing-Hua Liu, Hai Lu, Song-Feng Li, et al. Outcomes of small gauge pars plicata vitrectomy for patients with persistent fetal vasculature: a report of 105 cases. Int J Ophthalmol, 2017,10(12):1851-1856

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Publication History
  • Received:May 04,2017
  • Revised:August 01,2017
  • Adopted:
  • Online: December 07,2017
  • Published: