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Primary posterior capsulotomy using a 25-gauge vitreous cutter in vitrectomy combined with cataract surgery. 2010

Shimpei Sato, and Maiko Inoue, and Satoshi Kobayashi, and Yoichiro Watanabe, and Kazuaki Kadonosono
Department of Ophthalmology, Yokohama City University Medical Center, Yokohama, Japan.

We describe a primary posterior capsulotomy technique using a 25-gauge vitreous cutter to prevent postoperative posterior capsule opacification (PCO) in patients with vitreoretinal diseases who must have a vitrectomy combined with cataract surgery. Following phacoemulsification, a 25-gauge vitrectomy, and intraocular lens implantation in the capsular bag, the posterior capsule is removed via a pars plana approach using a 25-gauge vitreous cutter; the removed capsule is round, well centered, and approximately 5.0 mm in diameter. This technique prevents postoperative PCO completely, improving vision and enabling detailed examination of the fundus after surgery.

UI MeSH Term Description Entries
D007903 Lens Capsule, Crystalline The thin noncellular outer covering of the CRYSTALLINE LENS composed mainly of COLLAGEN TYPE IV and GLYCOSAMINOGLYCANS. It is secreted by the embryonic anterior and posterior epithelium. The embryonic posterior epithelium later disappears. Capsule, Crystalline Lens,Capsules, Crystalline Lens,Crystalline Lens Capsule,Crystalline Lens Capsules,Lens Capsules, Crystalline
D008297 Male Males
D008866 Microsurgery The performance of surgical procedures with the aid of a microscope.
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D012164 Retinal Diseases Diseases involving the RETINA. Disease, Retinal,Diseases, Retinal,Retinal Disease
D002386 Cataract Partial or complete opacity on or in the lens or capsule of one or both eyes, impairing vision or causing blindness. The many kinds of cataract are classified by their morphology (size, shape, location) or etiology (cause and time of occurrence). (Dorland, 27th ed) Cataract, Membranous,Lens Opacities,Pseudoaphakia,Cataracts,Cataracts, Membranous,Lens Opacity,Membranous Cataract,Membranous Cataracts,Opacities, Lens,Opacity, Lens,Pseudoaphakias
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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