Abstract
Objective To observe the incidence of after-cataract after lensectomy reserving anterior capsule intact during lensovitrectomy. Methods Eighty-nine eyes of 83 patients with vitreoretinal diseases and cataract received lensovitrectomy. First the posterior capsule, cortex and nucleus of the lens were resected by the cutting head of vitrectomy unit and the equatorial capsule and anterior capsule were preserved. Then the anterior subcapsular lens epithelial cells were removed by cutting head with negative pressure of 30-50 mmHg (1 mmHg = 0.133 kPa)before vetrectomy. All patients were followed up for 10-20 months after the operation. Results In 89 eyes with reserving anterior capsule lensectomy combined with vitrectomy, the reserved anterior capsule was transparent in 86 eyes accounting for 96.63%; after-cataract occurred in 2 eyes accounting for 2.25%; the anterior capsular ruptured in 1 eye accounting for 1.12%. Conclusion In keeping anterior capsule intact lensectomy, the incidence of after-cataract is very low after the anterior subcapsular lens epithelial cells be removed. Key words: Vitrectomy; Lensectomy, anterior capsule keeping; Lens epithelial cells, anterior subcapsular; Cataract, after
Published Version
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