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Surgical management for persistent pupillary membrane with vitreous scissors
1Department of Ophthalmology, College of Medicine, Ehwa Womans University, Seoul, Korea.
Korean Journal of Ophthalmology : KJO
|December 1, 1996
Summary
Vitreous scissors offer a safer alternative to Vannas scissors for persistent pupillary membrane surgery in children. This approach resulted in round pupils and improved vision without complications.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
- Persistent pupillary membrane (PPM) is a common congenital eye condition.
- Conventional surgical removal using Vannas scissors can lead to complications.
Purpose of the Study:
- To evaluate the efficacy and safety of using vitreous scissors for PPM removal.
- To compare surgical outcomes with conventional methods.
Main Methods:
- Surgical removal of PPM using vitreous scissors through a 1.5 mm limbal incision.
- Intracameral sodium hyaluronate was used to protect ocular structures.
- Follow-up of five eyes in four pediatric patients.
Main Results:
- All operated eyes achieved round pupils post-surgery.
- No surgical complications were observed during the 22.6-month follow-up period.
- Three out of five eyes demonstrated improved visual acuity after the procedure.
Conclusions:
- Vitreous scissors provide a safer and effective alternative for PPM surgery compared to Vannas scissors.
- This technique minimizes surgical complications and can enhance visual outcomes in pediatric patients.