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Surgery for stage 5 retinopathy of prematurity.
Current Opinion in Ophthalmology ( IF 3.0 ) Pub Date : 2021-07-27 , DOI: 10.1097/icu.0000000000000795
María Ana Martínez-Castellanos 1 , Greacia Yael Ortiz-Ramirez
Affiliation  

Our understanding of the pathogenesis and surgical management of stage 5 retinopathy of prematurity has come a long way. Despite of new technologies in retinal surgical devices, the dissection of thick membranes is still a challenge. We use a capsulotomy 'plug on tip' 0.05 mm designed for capsular fimosis. This diathermy instrument is used to cut the lens capsule by low power waves transmitted from the tip of an active incising electrode and make incisions in the tissue. We tested this technique with 226 infants of which all 226 eyes retrolental membrane were removed. In 6--46 months follow-up, light perception or better visual function was achieved in 92%.

中文翻译:

早产儿视网膜病变 5 期手术。

我们对 5 期早产儿视网膜病变的发病机制和手术治疗的理解已经取得了长足的进步。尽管视网膜手术设备采用了新技术,但厚膜的解剖仍然是一个挑战。我们使用专为囊膜形成而设计的 0.05 毫米囊切开术“尖端插头”。该透热疗法仪器通过从有源切割电极尖端发射的低功率波来切割晶状体囊,并在组织中形成切口。我们对 226 名婴儿测试了这项技术,其中所有 226 只眼睛的晶状体后膜均被切除。在6--46个月的随访中,92%的人实现了光感或更好的视觉功能。
更新日期:2021-07-27
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