Visual outcome in cataract surgery complicated by vitreous loss in a district general hospital.

International Ophthalmology
Ali A MearzaSimon Horgan

Abstract

To determine the visual outcome of patients following cataract surgery complicated by vitreous loss and to establish the factors, if any, that influenced the final visual outcome. Retrospective review of all patients over a 1-year period who had planned phacoemulsification complicated by vitreous loss. Information was entered into a pre-devised proforma and the results analysed. Of the 1614 eyes operated on for cataract, 43 (2.66%) had surgery complicated by vitreous loss. The mean age of the patients experiencing surgical complications was 79.7 years (range 48-93 years). Twenty-three patients (53%) had at least one factor contributing to the difficulty of procedure, with dense cataract being the top factor in 11 patients. There was no statistically significant association between any pre-operative predisposing factor, stage at which vitreous loss occurred, grade of the surgeon and final visual outcome. When pre-existing co-morbidity was excluded, 26 of 30 (87%) patients achieved a best-corrected visual acuity of 6/12 or better post-operatively. Cystoid macula oedema was the underlying cause in 50% of those patients that lost one or more lines post-operatively. Surgeons at all levels of training had an acceptable complication r...Continue Reading

References

Mar 1, 1988·Journal of Cataract and Refractive Surgery·A BalentP Mohamadi
Nov 27, 1999·The British Journal of Ophthalmology·P DesaiA Reidy
Feb 13, 2001·The British Journal of Ophthalmology·A IonidesS Tuft
Mar 29, 2003·Journal of Cataract and Refractive Surgery·Fiona M ChanKah-Guan Au Eong
May 16, 2006·Journal of Cataract and Refractive Surgery·Ghee Soon Ang, Ian F Whyte

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Citations

Jul 21, 2012·Journal of Cataract and Refractive Surgery·Aravind HaripriyaMadhu Shekhar
Nov 7, 2014·Journal of Refractive Surgery·Zoltan Z NagyMichael C Knorz
Jul 14, 2012·Clinical & Experimental Ophthalmology·Timothy V RobertsGerard Sutton
Aug 6, 2016·Journal of Cataract and Refractive Surgery·Wendell J ScottCraig D Eck
Mar 9, 2018·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·S Kohnen, S Lotfipour
Dec 7, 2013·Current Opinion in Ophthalmology·Cynthia S Chiu

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