Long-term Lens Complications Following Removal of Persistent Pupillary Membrane
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초록
We evaluated the long-term surgical outcome and lens complications in children with persistent pupillarymembrane following removal using vitreous scissors. Methods: Patients diagnosed with persistent pupillary membrane who received surgical treatment from 1987 to2012 were retrospectively reviewed. The removal was performed using vitreous scissors after instillation of miotics. The minimum follow-up period after surgery was four years. Factors of age, sex, visual acuity, refractiveerrors, and complications during or after surgery were evaluated. Results: A total of 32 eyes of 26 patients were included. The mean age at the initial visit was 22.6 ± 34.7 (range,0.9 to 141.2) months, and the mean age at surgery was 43.7 ± 36.0 (range, 1.0 to 142.5) months. There wereno intraoperative complications using vitreous scissors, and all lesions were completely removed. After amean follow-up period of 6.5 ± 3.3 (range, 4.0 to 14.8) years, the best corrected visual acuity at the final visitwas 0.6 ± 0.9 logarithm of the minimum angle of resolution, and two eyes (6.3%) presented with lens opacityduring follow-up. Conclusions: In children with persistent pupillary membrane, there were no intraoperative complications, andonly two patients presented with lens change during the long-term postoperative follow-up period. Surgicalremoval should be considered a safe and effective treatment for patients with visually significant persistent pupillarymembrane.
Abstract
We evaluated the long-term surgical outcome and lens complications in children with persistent pupillarymembrane following removal using vitreous scissors. Methods: Patients diagnosed with persistent pupillary membrane who received surgical treatment from 1987 to2012 were retrospectively reviewed. The removal was performed using vitreous scissors after instillation of miotics. The minimum follow-up period after surgery was four years. Factors of age, sex, visual acuity, refractiveerrors, and complications during or after surgery were evaluated. Results: A total of 32 eyes of 26 patients were included. The mean age at the initial visit was 22.6 ± 34.7 (range,0.9 to 141.2) months, and the mean age at surgery was 43.7 ± 36.0 (range, 1.0 to 142.5) months. There wereno intraoperative complications using vitreous scissors, and all lesions were completely removed. After amean follow-up period of 6.5 ± 3.3 (range, 4.0 to 14.8) years, the best corrected visual acuity at the final visitwas 0.6 ± 0.9 logarithm of the minimum angle of resolution, and two eyes (6.3%) presented with lens opacityduring follow-up. Conclusions: In children with persistent pupillary membrane, there were no intraoperative complications, andonly two patients presented with lens change during the long-term postoperative follow-up period. Surgicalremoval should be considered a safe and effective treatment for patients with visually significant persistent pupillarymembrane.
참고문헌 (16)
- Viswanathan D, "Hyperplastic persistent pupillary membranes with congenital corneal anomalies", J Cataract Refract Surg, 33, pp.1123~1126 (2007)[DOI]
- Thacker NM, "Extensive persistent pupillary membranes: conservative management", J AAPOS, 9, pp.495~496 (2005)[DOI]
- Kraus CL, "Clinical characteristics and surgical approach to visually significant persistent pupillary membranes", J AAPOS, 18, pp.596~599 (2014)[DOI]
- Ramappa M, "Lens-preserving excision of congenital hyperplastic pupillary membranes with clinicopathological correlation", J AAPOS, 16, pp.201~203 (2012)[DOI]
- Vega LF, "Neodymium: YAG laser treatment of persistent pupillary membrane", Ophthalmic Surg, 18, pp.452~454 (1987)
- Miller SD, "Persistent pupillary membrane: successful medical management", Arch Ophthalmol, 97, pp.1911~1913 (1979)[DOI]
- Reynolds JD, "Hyperplastic persistent pupillary membrane: surgical management", J Pediatr Ophthalmol Strabismus, 20, pp.149~152 (1983)
- Matsue N, "Prelental fibroplasias from pupillary membrane", Jpn J Clin Ophthalmol, 27, pp.37~42 (1973)
- Oner A, "Bilateral extensive persistent pupillary membranes", J Pediatr Ophthalmol Strabismus, 44, pp.57~58 (2007)
- Kothari M, "Excision of persistent pupillary membrane using a suction cutter", J Pediatr Ophthalmol Strabismus, 46, pp.187~ (2009)
- Burton BJ, "Persistent pupillary membranes", Br J Ophthalmol, 82, pp.711~712 (1998)
- Lim KH, "Surgical management for persistent pupillary membrane with vitreous scissors", Korean J Ophthalmol, 10, pp.124~126 (1996)[DOI]
- Goldberg MF, "Persistent fetal vasculature (PFV): an integrated interpretation of signs and symptoms associated with persistent hyperplastic primary vitreous (PHPV). LIV Edward Jackson Memorial Lecture", Am J Ophthalmol, 124, pp.587~626 (1997)[DOI]
- Robb RM, "Fibrous congenital iris membranes with pupillary distortion", Trans Am Ophthalmol Soc, 99, pp.45~50 (2001)
- Lee SM, "Outcome of hyperplastic persistent pupillary membrane", J Pediatr Ophthalmol Strabismus, 41, pp.163~171 (2004)
- Altun A, "Bilateral persistent pupillary membrane with tetralogy of fallot: a case report and review of the literature", Case Rep Ophthalmol Med, 2014, pp.581273~ (2014)