Bilateral Persistent Pupillary Membrane with Tetralogy of Fallot: A Case Report and Review of the Literature

Altun, Ahmet; Kurna, Sevda Aydın; Bozkurt, Ercüment; Erdoğan, Gürkan; Altun, Gulengul; Olcaysu, Osman Okan; Aki, Suat

doi:10.1155/2014/581273

Cited by 2 publications

(3 citation statements)

References 25 publications

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“…High-viscosity viscoelastic protected membranectomy represents an effective approach in dense and thick PPM (11,(17)(18)(19)(20)(21). Different incisions and surgical instruments have been applied in previous studies (Table 2), with the risk of developing traumatic iatrogenic cataract the most important surgery complication (9,10).…”

Section: Discussionmentioning

confidence: 99%

“…Surgical membranectomy has been employed in patients with thick or dense PPM in previous studies. However, traumatic iatrogenic cataract could be induced if the lens is accidentally damaged (9,10). To reduce the risk of complications, membranectomy with modified incision and capsulotomy microscissors was performed and the surgical outcome was evaluated.…”

Section: Introductionmentioning

confidence: 99%

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Surgical membranectomy with modified incision and capsulotomy microscissors for persistent pupillary membrane

Nie

Zou

et al. 2021

Ann Palliat Med

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Background: To evaluate the visual outcome and complications of surgical membranectomy with modified incision and capsulotomy microscissors in patients with persistent pupillary membrane (PPM). Methods:We enrolled eight eyes with PPM in six patients and performed surgical membranectomy with modified incision located near the limbus and corresponding to the middle of the densest membrane strands.Strands near the collarette of the iris were then cut using capsulotomy microscissors and thick strands were removed with capculorhexis forceps. Complications during or after surgery were evaluated, and uncorrected visual acuity (UCVA) and best corrected visual acuity (BCVA) were compared pre-and post-surgery. Results:The mean age of the patients at surgery was 9.5±3.4 years (range, 5.3 to 13.8 years). Bilateral PPMs were found in two patients, small anterior capsular cataracts not locating on the visual axis in three eyes, and deprivational amblyopia in four eyes. There were no traumatic cataracts, endophthalmitis, corneal opacities, or other complications in patients during or after modified surgical membranectomy. After a mean follow-up period of 5.8±0.4 (range, 5.0 to 6.0) months, UCVA was significantly improved from 0.23±0.14 to 0.36±0.20(P=0.026), and BCVA was also significantly improved from 0.32±0.22 pre-operatively to 0.56±0.25 post-operatively (P=0.006).Conclusions: Surgical membranectomy with modified incision and capsulotomy microscissors may be a safe approach to clear the visual axis of patients with PPM. However further treatments were needed in amblyopic eyes after surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgical membranectomy with modified incision and capsulotomy microscissors for persistent pupillary membrane

Nie

Zou

et al. 2021

Ann Palliat Med

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“…When numerous diffuse adhesions are present, lens damage could occur during attempts to remove the pupillary membrane. Altun et al [ 16 ] used microscissors to severe a persistent pupillary membrane. After separation from the iris, the persistent pupillary membrane was gently peeled off the anterior lens surface using 23-gauge capsulorhexis forceps.…”

Section: Discussionmentioning

confidence: 99%

Long-term Lens Complications Following Removal of Persistent Pupillary Membrane

Lee

Kim

et al. 2018

Korean J Ophthalmol

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PurposeWe evaluated the long-term surgical outcome and lens complications in children with persistent pupillary membrane following removal using vitreous scissors.MethodsPatients diagnosed with persistent pupillary membrane who received surgical treatment from 1987 to 2012 were retrospectively reviewed. The removal was performed using vitreous scissors after instillation of miotics. The minimum follow-up period after surgery was four years. Factors of age, sex, visual acuity, refractive errors, and complications during or after surgery were evaluated.ResultsA total of 32 eyes of 26 patients were included. The mean age at the initial visit was 22.6 ± 34.7 (range, 0.9 to 141.2) months, and the mean age at surgery was 43.7 ± 36.0 (range, 1.0 to 142.5) months. There were no intraoperative complications using vitreous scissors, and all lesions were completely removed. After a mean follow-up period of 6.5 ± 3.3 (range, 4.0 to 14.8) years, the best corrected visual acuity at the final visit was 0.6 ± 0.9 logarithm of the minimum angle of resolution, and two eyes (6.3%) presented with lens opacity during follow-up.ConclusionsIn children with persistent pupillary membrane, there were no intraoperative complications, and only two patients presented with lens change during the long-term postoperative follow-up period. Surgical removal should be considered a safe and effective treatment for patients with visually significant persistent pupillary membrane.

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Bilateral Persistent Pupillary Membrane with Tetralogy of Fallot: A Case Report and Review of the Literature

Cited by 2 publications

References 25 publications

Surgical membranectomy with modified incision and capsulotomy microscissors for persistent pupillary membrane

Surgical membranectomy with modified incision and capsulotomy microscissors for persistent pupillary membrane

Long-term Lens Complications Following Removal of Persistent Pupillary Membrane

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