Clinical application and consideration of foldable capsular vitreous body
Objective To analyze the effect and safety of foldable artificial vitreous body,and explore its advantages and limitations.Methods Five patients(five eyes)who underwent foldable artificial vitreous balloon implantation surgery at the Air Force Medical Center from October 2022 to December 2023 were selected,including four males and one female,two silicone oil dependent eye,and three eyeball rupture injuries.The clinical data of these five patients were retrospectively analyzed,including their general condition,preoperative and postoperative visual acuity,preoperative and postoperative intraocular pressure,slit lamp examination,axial length measurement,ophthalmic B-ultrasound,corneal endothelial count,balloon model,and silicone oil filling amount.Results Among the 5 patients,the mean age was(28.20±9.15).The postoperative IOP of(13.00±4.85)mmHg was significantly different from that of the preoperative IOP of(9.40±4.62)mmHg(t=-4.129,P=0.014).By the end of the last follow-up in February 2024,the position of the balloon in all three cases was not skewed or damaged,and the drainage tube was not exposed.The most common postoperative complications were hyphema and shallow anterior chamber.Conclusion FCVB implant surgery is a safe and effective method for treating ruptured eyes and silicone oil-dependent eyes.However,attention should be paid to timely treatment of complications.