PDF(Pubmed)
Abstract：
Microspherophakia is a rare developmental lens anomaly with increased anteroposterior and reduced equatorial diameter. It presents with refractive myopia, shallow anterior chamber, and angle closure glaucoma. It is associated with subluxated or dislocated lens, progressive myopia, defective accommodation, and glaucoma. Glaucoma is the most common vision-threatening complication and mostly requires surgical management that includes trabeculectomy, lensectomy, and drainage implant. A staged or combined procedure can be performed. The purpose of this video is to highlight the advantages of combining parsplana vitrectomy (PPV) with parsplana lensectomy (PPL), scleral fixated intraocular lens (SFIOL), and Aurolab aqueous drainage implant (AADI) in a young patient with advanced glaucoma and gross subluxation. Drainage implants are preferred over filtering surgeries in eyes undergoing vitreoretinal procedures due to the risk of bleb fibrosis and hypotony seen in the latter. The combined procedures should be tailored according to the lens status and severity of glaucoma in each patient.
The purpose of this video is to illustrate a combined quadruple procedure (PPL, PPV, SFIOL, and AADI) in microspherophakic patients with unstable glaucoma and video-based skill transfer to a novice surgeon.
This video illustrates quadruple surgery in a microspherophakic patient with secondary angle closure glaucoma. The authors also emphasize the advantages of a combined quadruple procedure over staged procedure or combined PPL with filtering procedure.
Quadruple procedure can be performed in young microspherophakic patients with advanced glaucoma or at risk of progression and losing central vision along with gross subluxation of lens. It eliminates the need for multiple procedures, the risk of hypotony, and bleb-related complications.
https://youtu.be/KdFjb7acXCI.
The purpose of this video is to illustrate a combined quadruple procedure (PPL, PPV, SFIOL, and AADI) in microspherophakic patients with unstable glaucoma and video-based skill transfer to a novice surgeon.
This video illustrates quadruple surgery in a microspherophakic patient with secondary angle closure glaucoma. The authors also emphasize the advantages of a combined quadruple procedure over staged procedure or combined PPL with filtering procedure.
Quadruple procedure can be performed in young microspherophakic patients with advanced glaucoma or at risk of progression and losing central vision along with gross subluxation of lens. It eliminates the need for multiple procedures, the risk of hypotony, and bleb-related complications.
https://youtu.be/KdFjb7acXCI.
摘要：
■微球体晶状体是一种罕见的发育晶状体异常，前后直径增加，赤道直径减小。它表现为屈光性近视，浅前房,和闭角型青光眼。它与半脱位或脱位的晶状体有关，进行性近视,有缺陷的住宿，和青光眼。青光眼是最常见的视力威胁并发症，主要需要手术治疗，包括小梁切除术。晶状体切除术,和引流植入物。可以执行分阶段或组合的程序。本视频的目的是突出显示的优势，组合的玻璃体切除术（PPV）与单平面切除术（PPL），巩膜固定人工晶状体（SFIOL），和Aurolab水性引流植入物（AADI）在一名患有晚期青光眼和严重半脱位的年轻患者中。在接受玻璃体视网膜手术的眼睛中，引流植入物比过滤手术更受欢迎，因为后者有发生气泡纤维化和低眼压的风险。应根据每位患者的晶状体状态和青光眼的严重程度来定制组合程序。
■本视频的目的是说明一个组合的四重程序（PPL，PPV,SFIOL,和AADI）在不稳定的青光眼和基于视频的技能转移给新手外科医生的微球体患者中。
■该视频说明了患有继发性闭角型青光眼的微球体晶状体患者的四重手术。作者还强调了组合式四重程序相对于分阶段程序或带有过滤程序的组合式PPL的优点。
■对于患有晚期青光眼或有进展和中央视力丧失以及晶状体严重半脱位的年轻微球体患者，可以进行四重手术。它消除了对多个程序的需要，低血压的风险，和大泡相关的并发症.
■https://youtu。be/KdFjb7acXCI。
■本视频的目的是说明一个组合的四重程序（PPL，PPV,SFIOL,和AADI）在不稳定的青光眼和基于视频的技能转移给新手外科医生的微球体患者中。
■该视频说明了患有继发性闭角型青光眼的微球体晶状体患者的四重手术。作者还强调了组合式四重程序相对于分阶段程序或带有过滤程序的组合式PPL的优点。
■对于患有晚期青光眼或有进展和中央视力丧失以及晶状体严重半脱位的年轻微球体患者，可以进行四重手术。它消除了对多个程序的需要，低血压的风险，和大泡相关的并发症.
■https://youtu。be/KdFjb7acXCI。
