Immediate pars plana vitrectomy for dislocated intravitreal lens fragments during cataract surgery

Eye
T Y Y LaiA V P Loo

Abstract

To assess the outcome of patients who underwent instantaneous pars plana vitrectomy for dislocated lens fragments during cataract surgery. The medical records of 29 patients who underwent immediate pars plana vitrectomy for dislocated lens fragments at the same sitting of phacoemulsification surgery were reviewed. Data including patients' demographics, preoperative and postoperative vision, risk factors for lens fragment dislocation, and intraoperative and postoperative complications were recorded. The mean follow-up period of the patients was 12.3 months (range, 3-47 months). The median preoperative visual acuity was 6/90 (range, LP to 6/15). The median final postoperative visual acuity was 6/18 (range, NLP to 6/9) and the mean improvement in vision after the operation was 4.5 lines. The commonest risk factors for dislocation of lens fragment were late detection of posterior capsule tear, splitting of anterior capsulorrhexis, and hard nucleus. After excluding nine eyes with other pre-existing ocular comorbidities, 10 (50%) eyes had a final visual acuity of 6/12 or better. Complications after surgery included three (10%) cases of retinal detachment and one (3%) patient developed epiretinal membrane. None of the patients in the ...Continue Reading

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Citations

Apr 28, 2009·Journal of Cataract and Refractive Surgery·Shlomit Schaal, Charles C Barr
May 26, 2017·SAGE Open Medical Case Reports·Mayuresh P NaikKomal Saluja
Nov 30, 2019·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Genjie KeYonghao Gu
Jun 25, 2020·International Ophthalmology Clinics·Nandini VenkateswaranGuillermo Amescua
Mar 3, 2009·European Journal of Ophthalmology·Aristides KonstantopoulosParwez Hossain
May 14, 2021·Ophthalmic Epidemiology·Stephanie B EngelhardJohn H Kempen
Jun 5, 2021·Journal français d'ophtalmologie·J-C VermionJ-B Conart

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