The application of binocular indirect ophthalmomicroscope combined with anterior chamber maintainer in vitrectomy for complicated vitreoretinopathy

Objective To evaluate the clinical results of vitrectomy by using binocular indirect ophthalmomicroscope (BIOM) combined with anterior chamber maintainer (ACM) for complicated vitreoretinopathy.Methods Six cases (6 eyes) of complicated vitreoretinopathy were undergone vitrectomy,during which ACM was used to maintain intraocular pressure and prevent from iatrogenic injury of choroid and retina.After lens and anterior vitreous removal,vitrectomy was completed through a BIOM observation system.The follow-up time ranged from 3 months to 11 months.The effects and complications were analyzed.Results No obvious drawback was noticed during the 6 cases vitrectomy by using BIOM and ACM combination.The visual acuities improved in 5 cases and remained stable in 1 case after operation.The major long-term complications were hypotony,epiretinal membrane,and anterior proliferative vitreoretinopathy.Retinal reattached in 4 cases after silicone oil removal.Conclusions The vitrectomy combined BIOM with ACM is effective and safe for complicated vitreoretinopathy,and clinical results ascertained the practical feasibility of it. Key words: Anterior chamber maintainer; Binocular indirect ophthalmomicroscope; Vitrectomy; Complicated vitreoretinopathy