The results of YAG-laser surgery in children with vitreous body’s pathology

The article presents the analysis of the results YAG laser interventions on the structures of the vitreous body in 49 children (53 eyes) with various vitreal pathology, mostly congenital, rare consequence of uveitis, trauma and intraocular operations. Laser discission of the vitreous body commissures (vitreomembranotomy) was produced in 37 eyes, the destruction of the opacities of the vitreous body (vitreolysis) - in 13 eyes, dissection of the vitreocorneal adhesions (front adhesiotomy) - in 3 eyes. Laser surgery in most children (79,6%) was able to resolve the traction, in all cases it improved the status of the optical zone, in 42% of children it improved visual acuity. We found no major complications. Vitreomembranotomy was the most effective for cutting of the thin avascular commissure in cases of the persistent hyperplastic primary vitreous syndrome and scar phase retinopathy of prematurity. Laser vitreal destruction of the front vitreal opacities is justified in children in early postoperative period after cataract removal to accelerate vitreolysis and in obscurations amblyopia preventing. Both adults and children, laser vitreocorneal dissection is shown in the syndrome of Irvine-Gass, hyaloidotomy, and it is used to eliminate vitreal pupillary block.

YAG vitreomembranotomy, frontvitreolysis, hyaloidotomy