Outcomes in persistent hyperplastic primary vitreous

被引:65
作者
Hunt, A
Rowe, N
Lam, A
Martin, F
机构
[1] Univ Sydney, Dept Ophthalmol, Sydney, NSW 2006, Australia
[2] Childrens Hosp, Dept Radiol, Sydney, NSW, Australia
关键词
D O I
10.1136/bjo.2004.053595
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Aims: To report outcomes in cases of persistent hyperplastic primary vitreous ( PHPV) and examine factors predictive of visual acuity in patients selected for surgery. Methods: Retrospective case series of 55 eyes in 50 patients presenting between 1990 and 2001 at the Children's Hospital, Westmead. 33 eyes underwent surgery aimed at visual rehabilitation. Results: In surgical patients, median age at surgery was 77 days, and median age at final follow up was 28 months. Six ( 18%) achieved a visual acuity at final follow up of 6/60 or better and eight (24%) achieved acuity of less than 6/60 to counting finger vision inclusive. Those undergoing surgery before 77 days were approximately 13 times more likely to obtain a visual acuity of counting fingers or better than those operated later ( p = 0.01). Neither posterior segment PHPV nor post-surgical glaucoma was a significant predictor of outcome in this selected group. Conclusion: Early surgery aimed at rehabilitation markedly improves the likelihood of useful visual outcome in selected eyes with PHPV.
引用
收藏
页码:859 / 863
页数:5
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