| Clinical Findings and Prognosis of Persistent Hyperplastic Primary Vitreous. |
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Hak Su Kyung, Young Suk Yu |
1Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea. ysyu@snu.ac.kr
2Artificial Eye Center of Clinical Research Institute, Seoul National University Hospital, Seoul, Korea. |
| 일차유리체증식증 눈의 임상양상과 예후 |
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경학수 ( Hak Su Kyung ) , 유영석 ( Young Suk Yu ) |
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| Abstract |
PURPOSE
To evaluate the clinical findings, visual improvement and preservation of eye according to treatment modality among children with persistent hyperplastic primary vitreous (PHPV) METHODS: A retrospective study, from 1982 to 2001, at Seoul National University Children's Hospital RESULTS: The subjects for investigation were 126 PHPV eyes in 114 children. The mean age at first exam was 3.6 +/- 3.5months, and the mean age at operation was 13.3 +/- 12.1months. Combined type (67%) was most common, followed by posterior (24%), and anterior (9%) types. The chief complaints in order of frequency were are leukocoria (35%), no fixation (23%), strabismus (21%), and microophthalmia (12%). Percentages of eye preservation and visual improvement over 20/1000 were 77%, and 57%, respectively. Nevertheless, the percentage of visual improvement over 20/200 in the anterior type was 25%. CONCLUSIONS: Combined type was most common in PHPV. Clinical findings and treatment modality varieds according to the type. Visual prognosis was poor. However, the post-treatment status was good in view of the treatment purpose. Therefore we can optain a good outcome through active treatment after the exact classification of PHPV eyes and by establishing the treatment purpose. |
| Key Words:
Persistent hyperplastic primary vitreous (PHPV);Visual improvement |
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