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  • Title: Approach to cataract with persistent hyperplastic primary vitreous.
    Author: Khokhar S, Tejwani LK, Kumar G, Kushmesh R.
    Journal: J Cataract Refract Surg; 2011 Aug; 37(8):1382-5. PubMed ID: 21782083.
    Abstract:
    Persistent hyperplastic primary vitreous (PHPV) is a congenital anomaly in which the hyaloid vasculature persists beyond fetal life. In cases in which cataract is associated with PHPV, intraoperative bleeding is a potential complication during cataract surgery. The pars plana approach along with endocoagulation has been used in such cases. We describe an alternative approach using a Fugo plasma blade via an anterior route. This approach provides better control over the posterior capsulotomy along with minimal traction over the retina and, most important, hemostasis during surgery.
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