Literature DB >> 12427229

Pars plana vitrectomy in the management of retained intravitreal lens fragments after cataract surgery.

Alvin K H Kwok1, Kenneth K W Li, Timothy Y Y Lai, Dennis S C Lam.   

Abstract

PURPOSE: To assess the outcome of patients who underwent pars plana vitrectomy for retained lens fragments after cataract surgery.
METHODS: A retrospective study of all consecutive cases with pars plana vitrectomy performed for retained lens fragment was conducted. Twenty-seven eyes of 27 patients were included in the study.
RESULTS: Twenty-four (89.9%) eyes received phacoemulsification. Pars plana vitrectomy was performed at the same sitting, or ranged from day 1-70 after cataract surgery. The mean follow up was 31.1 months. Final visual acuity of 6/12 or better was achieved in 15 (55.6%) patients. After excluding patients with pre-existing eye diseases, 68.4% of patients had visual acuity 6/12 or better. Complications after pars plana vitrectomy included glaucoma (22.2%), retinal detachment (11.1%) and surgically induced necrotizing scleritis (3.7%).
CONCLUSION: Ocular complications with poor visual outcome can occur after removal of intravitreal retained lens fragments complicating cataract surgery.

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Mesh:

Year:  2002        PMID: 12427229     DOI: 10.1046/j.1442-9071.2002.00568.x

Source DB:  PubMed          Journal:  Clin Exp Ophthalmol        ISSN: 1442-6404            Impact factor:   4.207


  6 in total

1.  Medical malpractice claims related to cataract surgery complicated by retained lens fragments (an American Ophthalmological Society thesis).

Authors:  Judy E Kim; Paul Weber; Aniko Szabo
Journal:  Trans Am Ophthalmol Soc       Date:  2012-12

2.  Retinal detachment after vitrectomy performed for dropped nucleus following cataract surgery: a retrospective case series.

Authors:  Hacı Koç; İbrahim Koçak; Salih Bozkurt
Journal:  Int J Clin Exp Med       Date:  2015-03-15

3.  Management of nucleus loss into the vitreous: long term follow up in 63 patients.

Authors:  Pedro Romero-Aroca; Juan Fernández-Ballart; Isabel Méndez-Marín; Merce Salvat-Serra; Marc Baget-Bernaldiz; Jose A Buil-Calvo
Journal:  Clin Ophthalmol       Date:  2007-12

4.  23-gauge pars plana vitrectomy for management of posteriorly dislocated crystalline lens.

Authors:  Minhee Cho; Rv Paul Chan
Journal:  Clin Ophthalmol       Date:  2011-12-08

5.  Postoperative necrotizing scleritis: a report of four cases.

Authors:  Sudipta Das; Kumar Saurabh; Jyotrimay Biswas
Journal:  Middle East Afr J Ophthalmol       Date:  2014 Oct-Dec

6.  A retrospective cohort study of clinical outcomes for intravitreal crystalline retained lens fragments after age-related cataract surgery: a comparison of same-day versus delayed vitrectomy.

Authors:  Elizabeth A Vanner; Michael W Stewart; Thomas J Liesegang; Rick E Bendel; James P Bolling; Saiyid A Hasan
Journal:  Clin Ophthalmol       Date:  2012-07-18
  6 in total

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