Clinical effect of anterior vitrectomy for congenital cataract

AIM: To evaluate the clinical efficacy of posterior continuous curvilinear capsulorhexis(PCCC)combined with anterior vitrectomy in preventing posterior capsule opacification of congenital cataract surgery. <p<METHODS: Postoperative clinical follow-up data of 82 cases(87 eyes)with congenital cataract treated in Eye Center of our hospital from January 2011 to August 2014 were retrospectively analyzed. The patients were divided into the surgical control group(38 cases, 40 eyes, recieved phacoemulsification + PCCC)and the study group(44 cases, 47 eyes, accepted phacoemulsification + PCCC + anterior vitrectomy). The incidence of central optic axis opaque and postoperative visual acuity distribution were recorded at 1a follow-up. Intraoperative and postoperative complications were observed. <p<RESULTS: The rate of central optic axis opaque grade 0 in control group was 37.5%, compared to 76.6% in study groups. The opacity distribution ratio of grade 1,2,3 and 4 in study group were lower than that of control group, and the central optic axis opacity distribution ratio in study group was significantly better than that of control group(<i<P</i<<0.05). The 19 eyes(47.5%)of visual acuity testing ≤0.5 in control group, was higher than the 7 eyes(14.89%)of that in the study group, The 21 eyes(52.5%)of visual acuity testing <0.5 in control group was lower than the 40 eyes(85.11%)of that in study group. The visual acuity between two groups has statistical significance difference after 1a follow-up(<i<P</i<<0.05), and the visual acuity in study group was significantly better than that in the control group. The postoperative intraocular pressure at 1mo and 1a follow-up was lower than before operation in two groups(<i<P</i<<0.05), but there was no significant difference between two groups in intraocular pressure(<i<P</i<<0.05).<p<CONCLUSION: Combination of phacoemulsification, PCCC and anterior vitrectomy presents reliable clinical effects on postoperative central optic axis opacity distribution ratio and visual acuity, and it should be adopted to prevent the occurrence of posterior capsule opacification. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Hua He [verfasserIn] Feng Zhou [verfasserIn] Qi Zhu [verfasserIn] Qian Wang [verfasserIn] Xue-Mei Wu [verfasserIn] Jian Ma [verfasserIn] Ya-Yun Wang [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Schlagwörter:	congenital cataract posterior continuous curvilinear capsulorhexis anterior vitrectomy phacoemulsification after cataract

Übergeordnetes Werk:	In: Guoji Yanke Zazhi - Press of International Journal of Ophthalmology (IJO PRESS), 2017, 15(2015), 5, Seite 825-827
Übergeordnetes Werk:	volume:15 ; year:2015 ; number:5 ; pages:825-827

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.3980/j.issn.1672-5123.2015.5.21

Katalog-ID:	DOAJ078291895

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650		4	\|a congenital cataract
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allfields	10.3980/j.issn.1672-5123.2015.5.21 doi (DE-627)DOAJ078291895 (DE-599)DOAJ3eaf2b73d9fe4b4e8256c96a3b8c0faf DE-627 ger DE-627 rakwb eng RE1-994 Hua He verfasserin aut Clinical effect of anterior vitrectomy for congenital cataract 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AIM: To evaluate the clinical efficacy of posterior continuous curvilinear capsulorhexis(PCCC)combined with anterior vitrectomy in preventing posterior capsule opacification of congenital cataract surgery. <p<METHODS: Postoperative clinical follow-up data of 82 cases(87 eyes)with congenital cataract treated in Eye Center of our hospital from January 2011 to August 2014 were retrospectively analyzed. The patients were divided into the surgical control group(38 cases, 40 eyes, recieved phacoemulsification + PCCC)and the study group(44 cases, 47 eyes, accepted phacoemulsification + PCCC + anterior vitrectomy). The incidence of central optic axis opaque and postoperative visual acuity distribution were recorded at 1a follow-up. Intraoperative and postoperative complications were observed. <p<RESULTS: The rate of central optic axis opaque grade 0 in control group was 37.5%, compared to 76.6% in study groups. The opacity distribution ratio of grade 1,2,3 and 4 in study group were lower than that of control group, and the central optic axis opacity distribution ratio in study group was significantly better than that of control group(<i<P</i<<0.05). The 19 eyes(47.5%)of visual acuity testing ≤0.5 in control group, was higher than the 7 eyes(14.89%)of that in the study group, The 21 eyes(52.5%)of visual acuity testing <0.5 in control group was lower than the 40 eyes(85.11%)of that in study group. The visual acuity between two groups has statistical significance difference after 1a follow-up(<i<P</i<<0.05), and the visual acuity in study group was significantly better than that in the control group. The postoperative intraocular pressure at 1mo and 1a follow-up was lower than before operation in two groups(<i<P</i<<0.05), but there was no significant difference between two groups in intraocular pressure(<i<P</i<<0.05).<p<CONCLUSION: Combination of phacoemulsification, PCCC and anterior vitrectomy presents reliable clinical effects on postoperative central optic axis opacity distribution ratio and visual acuity, and it should be adopted to prevent the occurrence of posterior capsule opacification. congenital cataract posterior continuous curvilinear capsulorhexis anterior vitrectomy phacoemulsification after cataract Ophthalmology Feng Zhou verfasserin aut Qi Zhu verfasserin aut Qian Wang verfasserin aut Xue-Mei Wu verfasserin aut Jian Ma verfasserin aut Ya-Yun Wang verfasserin aut In Guoji Yanke Zazhi Press of International Journal of Ophthalmology (IJO PRESS), 2017 15(2015), 5, Seite 825-827 (DE-627)1680946854 16725123 nnns volume:15 year:2015 number:5 pages:825-827 https://doi.org/10.3980/j.issn.1672-5123.2015.5.21 kostenfrei https://doaj.org/article/3eaf2b73d9fe4b4e8256c96a3b8c0faf kostenfrei http://ies.ijo.cn/cn_publish/2015/5/201505021.pdf kostenfrei https://doaj.org/toc/1672-5123 Journal toc kostenfrei https://doaj.org/toc/1672-5123 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_2817 AR 15 2015 5 825-827
spelling	10.3980/j.issn.1672-5123.2015.5.21 doi (DE-627)DOAJ078291895 (DE-599)DOAJ3eaf2b73d9fe4b4e8256c96a3b8c0faf DE-627 ger DE-627 rakwb eng RE1-994 Hua He verfasserin aut Clinical effect of anterior vitrectomy for congenital cataract 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AIM: To evaluate the clinical efficacy of posterior continuous curvilinear capsulorhexis(PCCC)combined with anterior vitrectomy in preventing posterior capsule opacification of congenital cataract surgery. <p<METHODS: Postoperative clinical follow-up data of 82 cases(87 eyes)with congenital cataract treated in Eye Center of our hospital from January 2011 to August 2014 were retrospectively analyzed. The patients were divided into the surgical control group(38 cases, 40 eyes, recieved phacoemulsification + PCCC)and the study group(44 cases, 47 eyes, accepted phacoemulsification + PCCC + anterior vitrectomy). The incidence of central optic axis opaque and postoperative visual acuity distribution were recorded at 1a follow-up. Intraoperative and postoperative complications were observed. <p<RESULTS: The rate of central optic axis opaque grade 0 in control group was 37.5%, compared to 76.6% in study groups. The opacity distribution ratio of grade 1,2,3 and 4 in study group were lower than that of control group, and the central optic axis opacity distribution ratio in study group was significantly better than that of control group(<i<P</i<<0.05). The 19 eyes(47.5%)of visual acuity testing ≤0.5 in control group, was higher than the 7 eyes(14.89%)of that in the study group, The 21 eyes(52.5%)of visual acuity testing <0.5 in control group was lower than the 40 eyes(85.11%)of that in study group. The visual acuity between two groups has statistical significance difference after 1a follow-up(<i<P</i<<0.05), and the visual acuity in study group was significantly better than that in the control group. The postoperative intraocular pressure at 1mo and 1a follow-up was lower than before operation in two groups(<i<P</i<<0.05), but there was no significant difference between two groups in intraocular pressure(<i<P</i<<0.05).<p<CONCLUSION: Combination of phacoemulsification, PCCC and anterior vitrectomy presents reliable clinical effects on postoperative central optic axis opacity distribution ratio and visual acuity, and it should be adopted to prevent the occurrence of posterior capsule opacification. congenital cataract posterior continuous curvilinear capsulorhexis anterior vitrectomy phacoemulsification after cataract Ophthalmology Feng Zhou verfasserin aut Qi Zhu verfasserin aut Qian Wang verfasserin aut Xue-Mei Wu verfasserin aut Jian Ma verfasserin aut Ya-Yun Wang verfasserin aut In Guoji Yanke Zazhi Press of International Journal of Ophthalmology (IJO PRESS), 2017 15(2015), 5, Seite 825-827 (DE-627)1680946854 16725123 nnns volume:15 year:2015 number:5 pages:825-827 https://doi.org/10.3980/j.issn.1672-5123.2015.5.21 kostenfrei https://doaj.org/article/3eaf2b73d9fe4b4e8256c96a3b8c0faf kostenfrei http://ies.ijo.cn/cn_publish/2015/5/201505021.pdf kostenfrei https://doaj.org/toc/1672-5123 Journal toc kostenfrei https://doaj.org/toc/1672-5123 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_2817 AR 15 2015 5 825-827
allfields_unstemmed	10.3980/j.issn.1672-5123.2015.5.21 doi (DE-627)DOAJ078291895 (DE-599)DOAJ3eaf2b73d9fe4b4e8256c96a3b8c0faf DE-627 ger DE-627 rakwb eng RE1-994 Hua He verfasserin aut Clinical effect of anterior vitrectomy for congenital cataract 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AIM: To evaluate the clinical efficacy of posterior continuous curvilinear capsulorhexis(PCCC)combined with anterior vitrectomy in preventing posterior capsule opacification of congenital cataract surgery. <p<METHODS: Postoperative clinical follow-up data of 82 cases(87 eyes)with congenital cataract treated in Eye Center of our hospital from January 2011 to August 2014 were retrospectively analyzed. The patients were divided into the surgical control group(38 cases, 40 eyes, recieved phacoemulsification + PCCC)and the study group(44 cases, 47 eyes, accepted phacoemulsification + PCCC + anterior vitrectomy). The incidence of central optic axis opaque and postoperative visual acuity distribution were recorded at 1a follow-up. Intraoperative and postoperative complications were observed. <p<RESULTS: The rate of central optic axis opaque grade 0 in control group was 37.5%, compared to 76.6% in study groups. The opacity distribution ratio of grade 1,2,3 and 4 in study group were lower than that of control group, and the central optic axis opacity distribution ratio in study group was significantly better than that of control group(<i<P</i<<0.05). The 19 eyes(47.5%)of visual acuity testing ≤0.5 in control group, was higher than the 7 eyes(14.89%)of that in the study group, The 21 eyes(52.5%)of visual acuity testing <0.5 in control group was lower than the 40 eyes(85.11%)of that in study group. The visual acuity between two groups has statistical significance difference after 1a follow-up(<i<P</i<<0.05), and the visual acuity in study group was significantly better than that in the control group. The postoperative intraocular pressure at 1mo and 1a follow-up was lower than before operation in two groups(<i<P</i<<0.05), but there was no significant difference between two groups in intraocular pressure(<i<P</i<<0.05).<p<CONCLUSION: Combination of phacoemulsification, PCCC and anterior vitrectomy presents reliable clinical effects on postoperative central optic axis opacity distribution ratio and visual acuity, and it should be adopted to prevent the occurrence of posterior capsule opacification. congenital cataract posterior continuous curvilinear capsulorhexis anterior vitrectomy phacoemulsification after cataract Ophthalmology Feng Zhou verfasserin aut Qi Zhu verfasserin aut Qian Wang verfasserin aut Xue-Mei Wu verfasserin aut Jian Ma verfasserin aut Ya-Yun Wang verfasserin aut In Guoji Yanke Zazhi Press of International Journal of Ophthalmology (IJO PRESS), 2017 15(2015), 5, Seite 825-827 (DE-627)1680946854 16725123 nnns volume:15 year:2015 number:5 pages:825-827 https://doi.org/10.3980/j.issn.1672-5123.2015.5.21 kostenfrei https://doaj.org/article/3eaf2b73d9fe4b4e8256c96a3b8c0faf kostenfrei http://ies.ijo.cn/cn_publish/2015/5/201505021.pdf kostenfrei https://doaj.org/toc/1672-5123 Journal toc kostenfrei https://doaj.org/toc/1672-5123 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_2817 AR 15 2015 5 825-827
allfieldsGer	10.3980/j.issn.1672-5123.2015.5.21 doi (DE-627)DOAJ078291895 (DE-599)DOAJ3eaf2b73d9fe4b4e8256c96a3b8c0faf DE-627 ger DE-627 rakwb eng RE1-994 Hua He verfasserin aut Clinical effect of anterior vitrectomy for congenital cataract 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AIM: To evaluate the clinical efficacy of posterior continuous curvilinear capsulorhexis(PCCC)combined with anterior vitrectomy in preventing posterior capsule opacification of congenital cataract surgery. <p<METHODS: Postoperative clinical follow-up data of 82 cases(87 eyes)with congenital cataract treated in Eye Center of our hospital from January 2011 to August 2014 were retrospectively analyzed. The patients were divided into the surgical control group(38 cases, 40 eyes, recieved phacoemulsification + PCCC)and the study group(44 cases, 47 eyes, accepted phacoemulsification + PCCC + anterior vitrectomy). The incidence of central optic axis opaque and postoperative visual acuity distribution were recorded at 1a follow-up. Intraoperative and postoperative complications were observed. <p<RESULTS: The rate of central optic axis opaque grade 0 in control group was 37.5%, compared to 76.6% in study groups. The opacity distribution ratio of grade 1,2,3 and 4 in study group were lower than that of control group, and the central optic axis opacity distribution ratio in study group was significantly better than that of control group(<i<P</i<<0.05). The 19 eyes(47.5%)of visual acuity testing ≤0.5 in control group, was higher than the 7 eyes(14.89%)of that in the study group, The 21 eyes(52.5%)of visual acuity testing <0.5 in control group was lower than the 40 eyes(85.11%)of that in study group. The visual acuity between two groups has statistical significance difference after 1a follow-up(<i<P</i<<0.05), and the visual acuity in study group was significantly better than that in the control group. The postoperative intraocular pressure at 1mo and 1a follow-up was lower than before operation in two groups(<i<P</i<<0.05), but there was no significant difference between two groups in intraocular pressure(<i<P</i<<0.05).<p<CONCLUSION: Combination of phacoemulsification, PCCC and anterior vitrectomy presents reliable clinical effects on postoperative central optic axis opacity distribution ratio and visual acuity, and it should be adopted to prevent the occurrence of posterior capsule opacification. congenital cataract posterior continuous curvilinear capsulorhexis anterior vitrectomy phacoemulsification after cataract Ophthalmology Feng Zhou verfasserin aut Qi Zhu verfasserin aut Qian Wang verfasserin aut Xue-Mei Wu verfasserin aut Jian Ma verfasserin aut Ya-Yun Wang verfasserin aut In Guoji Yanke Zazhi Press of International Journal of Ophthalmology (IJO PRESS), 2017 15(2015), 5, Seite 825-827 (DE-627)1680946854 16725123 nnns volume:15 year:2015 number:5 pages:825-827 https://doi.org/10.3980/j.issn.1672-5123.2015.5.21 kostenfrei https://doaj.org/article/3eaf2b73d9fe4b4e8256c96a3b8c0faf kostenfrei http://ies.ijo.cn/cn_publish/2015/5/201505021.pdf kostenfrei https://doaj.org/toc/1672-5123 Journal toc kostenfrei https://doaj.org/toc/1672-5123 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_2817 AR 15 2015 5 825-827
allfieldsSound	10.3980/j.issn.1672-5123.2015.5.21 doi (DE-627)DOAJ078291895 (DE-599)DOAJ3eaf2b73d9fe4b4e8256c96a3b8c0faf DE-627 ger DE-627 rakwb eng RE1-994 Hua He verfasserin aut Clinical effect of anterior vitrectomy for congenital cataract 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AIM: To evaluate the clinical efficacy of posterior continuous curvilinear capsulorhexis(PCCC)combined with anterior vitrectomy in preventing posterior capsule opacification of congenital cataract surgery. <p<METHODS: Postoperative clinical follow-up data of 82 cases(87 eyes)with congenital cataract treated in Eye Center of our hospital from January 2011 to August 2014 were retrospectively analyzed. The patients were divided into the surgical control group(38 cases, 40 eyes, recieved phacoemulsification + PCCC)and the study group(44 cases, 47 eyes, accepted phacoemulsification + PCCC + anterior vitrectomy). The incidence of central optic axis opaque and postoperative visual acuity distribution were recorded at 1a follow-up. Intraoperative and postoperative complications were observed. <p<RESULTS: The rate of central optic axis opaque grade 0 in control group was 37.5%, compared to 76.6% in study groups. The opacity distribution ratio of grade 1,2,3 and 4 in study group were lower than that of control group, and the central optic axis opacity distribution ratio in study group was significantly better than that of control group(<i<P</i<<0.05). The 19 eyes(47.5%)of visual acuity testing ≤0.5 in control group, was higher than the 7 eyes(14.89%)of that in the study group, The 21 eyes(52.5%)of visual acuity testing <0.5 in control group was lower than the 40 eyes(85.11%)of that in study group. The visual acuity between two groups has statistical significance difference after 1a follow-up(<i<P</i<<0.05), and the visual acuity in study group was significantly better than that in the control group. The postoperative intraocular pressure at 1mo and 1a follow-up was lower than before operation in two groups(<i<P</i<<0.05), but there was no significant difference between two groups in intraocular pressure(<i<P</i<<0.05).<p<CONCLUSION: Combination of phacoemulsification, PCCC and anterior vitrectomy presents reliable clinical effects on postoperative central optic axis opacity distribution ratio and visual acuity, and it should be adopted to prevent the occurrence of posterior capsule opacification. congenital cataract posterior continuous curvilinear capsulorhexis anterior vitrectomy phacoemulsification after cataract Ophthalmology Feng Zhou verfasserin aut Qi Zhu verfasserin aut Qian Wang verfasserin aut Xue-Mei Wu verfasserin aut Jian Ma verfasserin aut Ya-Yun Wang verfasserin aut In Guoji Yanke Zazhi Press of International Journal of Ophthalmology (IJO PRESS), 2017 15(2015), 5, Seite 825-827 (DE-627)1680946854 16725123 nnns volume:15 year:2015 number:5 pages:825-827 https://doi.org/10.3980/j.issn.1672-5123.2015.5.21 kostenfrei https://doaj.org/article/3eaf2b73d9fe4b4e8256c96a3b8c0faf kostenfrei http://ies.ijo.cn/cn_publish/2015/5/201505021.pdf kostenfrei https://doaj.org/toc/1672-5123 Journal toc kostenfrei https://doaj.org/toc/1672-5123 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_2817 AR 15 2015 5 825-827
language	English
source	In Guoji Yanke Zazhi 15(2015), 5, Seite 825-827 volume:15 year:2015 number:5 pages:825-827
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format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	congenital cataract posterior continuous curvilinear capsulorhexis anterior vitrectomy phacoemulsification after cataract Ophthalmology
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container_title	Guoji Yanke Zazhi
authorswithroles_txt_mv	Hua He @@aut@@ Feng Zhou @@aut@@ Qi Zhu @@aut@@ Qian Wang @@aut@@ Xue-Mei Wu @@aut@@ Jian Ma @@aut@@ Ya-Yun Wang @@aut@@
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The patients were divided into the surgical control group(38 cases, 40 eyes, recieved phacoemulsification + PCCC)and the study group(44 cases, 47 eyes, accepted phacoemulsification + PCCC + anterior vitrectomy). The incidence of central optic axis opaque and postoperative visual acuity distribution were recorded at 1a follow-up. Intraoperative and postoperative complications were observed. <p<RESULTS: The rate of central optic axis opaque grade 0 in control group was 37.5%, compared to 76.6% in study groups. The opacity distribution ratio of grade 1,2,3 and 4 in study group were lower than that of control group, and the central optic axis opacity distribution ratio in study group was significantly better than that of control group(<i<P</i<<0.05). 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callnumber-first	R - Medicine
author	Hua He
spellingShingle	Hua He misc RE1-994 misc congenital cataract misc posterior continuous curvilinear capsulorhexis misc anterior vitrectomy misc phacoemulsification misc after cataract misc Ophthalmology Clinical effect of anterior vitrectomy for congenital cataract
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topic_title	RE1-994 Clinical effect of anterior vitrectomy for congenital cataract congenital cataract posterior continuous curvilinear capsulorhexis anterior vitrectomy phacoemulsification after cataract
topic	misc RE1-994 misc congenital cataract misc posterior continuous curvilinear capsulorhexis misc anterior vitrectomy misc phacoemulsification misc after cataract misc Ophthalmology
topic_unstemmed	misc RE1-994 misc congenital cataract misc posterior continuous curvilinear capsulorhexis misc anterior vitrectomy misc phacoemulsification misc after cataract misc Ophthalmology
topic_browse	misc RE1-994 misc congenital cataract misc posterior continuous curvilinear capsulorhexis misc anterior vitrectomy misc phacoemulsification misc after cataract misc Ophthalmology
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title	Clinical effect of anterior vitrectomy for congenital cataract
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title_full	Clinical effect of anterior vitrectomy for congenital cataract
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author_browse	Hua He Feng Zhou Qi Zhu Qian Wang Xue-Mei Wu Jian Ma Ya-Yun Wang
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doi_str_mv	10.3980/j.issn.1672-5123.2015.5.21
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title_sort	clinical effect of anterior vitrectomy for congenital cataract
callnumber	RE1-994
title_auth	Clinical effect of anterior vitrectomy for congenital cataract
abstract	AIM: To evaluate the clinical efficacy of posterior continuous curvilinear capsulorhexis(PCCC)combined with anterior vitrectomy in preventing posterior capsule opacification of congenital cataract surgery. <p<METHODS: Postoperative clinical follow-up data of 82 cases(87 eyes)with congenital cataract treated in Eye Center of our hospital from January 2011 to August 2014 were retrospectively analyzed. The patients were divided into the surgical control group(38 cases, 40 eyes, recieved phacoemulsification + PCCC)and the study group(44 cases, 47 eyes, accepted phacoemulsification + PCCC + anterior vitrectomy). The incidence of central optic axis opaque and postoperative visual acuity distribution were recorded at 1a follow-up. Intraoperative and postoperative complications were observed. <p<RESULTS: The rate of central optic axis opaque grade 0 in control group was 37.5%, compared to 76.6% in study groups. The opacity distribution ratio of grade 1,2,3 and 4 in study group were lower than that of control group, and the central optic axis opacity distribution ratio in study group was significantly better than that of control group(<i<P</i<<0.05). The 19 eyes(47.5%)of visual acuity testing ≤0.5 in control group, was higher than the 7 eyes(14.89%)of that in the study group, The 21 eyes(52.5%)of visual acuity testing <0.5 in control group was lower than the 40 eyes(85.11%)of that in study group. The visual acuity between two groups has statistical significance difference after 1a follow-up(<i<P</i<<0.05), and the visual acuity in study group was significantly better than that in the control group. The postoperative intraocular pressure at 1mo and 1a follow-up was lower than before operation in two groups(<i<P</i<<0.05), but there was no significant difference between two groups in intraocular pressure(<i<P</i<<0.05).<p<CONCLUSION: Combination of phacoemulsification, PCCC and anterior vitrectomy presents reliable clinical effects on postoperative central optic axis opacity distribution ratio and visual acuity, and it should be adopted to prevent the occurrence of posterior capsule opacification.
abstractGer	AIM: To evaluate the clinical efficacy of posterior continuous curvilinear capsulorhexis(PCCC)combined with anterior vitrectomy in preventing posterior capsule opacification of congenital cataract surgery. <p<METHODS: Postoperative clinical follow-up data of 82 cases(87 eyes)with congenital cataract treated in Eye Center of our hospital from January 2011 to August 2014 were retrospectively analyzed. The patients were divided into the surgical control group(38 cases, 40 eyes, recieved phacoemulsification + PCCC)and the study group(44 cases, 47 eyes, accepted phacoemulsification + PCCC + anterior vitrectomy). The incidence of central optic axis opaque and postoperative visual acuity distribution were recorded at 1a follow-up. Intraoperative and postoperative complications were observed. <p<RESULTS: The rate of central optic axis opaque grade 0 in control group was 37.5%, compared to 76.6% in study groups. The opacity distribution ratio of grade 1,2,3 and 4 in study group were lower than that of control group, and the central optic axis opacity distribution ratio in study group was significantly better than that of control group(<i<P</i<<0.05). The 19 eyes(47.5%)of visual acuity testing ≤0.5 in control group, was higher than the 7 eyes(14.89%)of that in the study group, The 21 eyes(52.5%)of visual acuity testing <0.5 in control group was lower than the 40 eyes(85.11%)of that in study group. The visual acuity between two groups has statistical significance difference after 1a follow-up(<i<P</i<<0.05), and the visual acuity in study group was significantly better than that in the control group. The postoperative intraocular pressure at 1mo and 1a follow-up was lower than before operation in two groups(<i<P</i<<0.05), but there was no significant difference between two groups in intraocular pressure(<i<P</i<<0.05).<p<CONCLUSION: Combination of phacoemulsification, PCCC and anterior vitrectomy presents reliable clinical effects on postoperative central optic axis opacity distribution ratio and visual acuity, and it should be adopted to prevent the occurrence of posterior capsule opacification.
abstract_unstemmed	AIM: To evaluate the clinical efficacy of posterior continuous curvilinear capsulorhexis(PCCC)combined with anterior vitrectomy in preventing posterior capsule opacification of congenital cataract surgery. <p<METHODS: Postoperative clinical follow-up data of 82 cases(87 eyes)with congenital cataract treated in Eye Center of our hospital from January 2011 to August 2014 were retrospectively analyzed. The patients were divided into the surgical control group(38 cases, 40 eyes, recieved phacoemulsification + PCCC)and the study group(44 cases, 47 eyes, accepted phacoemulsification + PCCC + anterior vitrectomy). The incidence of central optic axis opaque and postoperative visual acuity distribution were recorded at 1a follow-up. Intraoperative and postoperative complications were observed. <p<RESULTS: The rate of central optic axis opaque grade 0 in control group was 37.5%, compared to 76.6% in study groups. The opacity distribution ratio of grade 1,2,3 and 4 in study group were lower than that of control group, and the central optic axis opacity distribution ratio in study group was significantly better than that of control group(<i<P</i<<0.05). The 19 eyes(47.5%)of visual acuity testing ≤0.5 in control group, was higher than the 7 eyes(14.89%)of that in the study group, The 21 eyes(52.5%)of visual acuity testing <0.5 in control group was lower than the 40 eyes(85.11%)of that in study group. The visual acuity between two groups has statistical significance difference after 1a follow-up(<i<P</i<<0.05), and the visual acuity in study group was significantly better than that in the control group. The postoperative intraocular pressure at 1mo and 1a follow-up was lower than before operation in two groups(<i<P</i<<0.05), but there was no significant difference between two groups in intraocular pressure(<i<P</i<<0.05).<p<CONCLUSION: Combination of phacoemulsification, PCCC and anterior vitrectomy presents reliable clinical effects on postoperative central optic axis opacity distribution ratio and visual acuity, and it should be adopted to prevent the occurrence of posterior capsule opacification.
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title_short	Clinical effect of anterior vitrectomy for congenital cataract
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