Clinical and Surgical Features of Eyes With Retained Lens Fragments During Cataract Surgery and Treatment Results at 6 Months

Küçük Resim Yok

Tarih

2009

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Purpose: To determine the clinical and surgical features of eyes with retained lens fragments during cataract surgery managed by pars plana vitrectomy (PPV) and to evaluate the treatment results at 6-month follow-up. Mateirals and Methods: Medical records of 29 patients who underwent PPV for retained lens fragments and were followed-up at least for 6 months between June 2005 and December 2008 were reviewed. Results: Retained lens fragments were removed with PPV and phacofragmantation in 24 eyes and with a vitreous cutter in 5 eyes. Before PPV, 9 eyes had intraocular lenses (IOLs) at the ciliary sulcus, 2 had IOLs subluxated into the vitreous, and 1 had a posterior chamber IOL located in the anterior chamber. Fourteen eyes had IOL implantation into the ciliary sulcus during the same session as PPV. Of the 6 eyes that were left aphakic during PPV, 2 had IOLs implantation to the ciliary sulcus and 4 had scleral fixated IOLs within the subsequent 2-month period. One eye had trabeculectomy 4 weeks after PPV and 1 eye had rhegmatogenous retinal detachment 7 weeks after PPV. At the 6-month follow-up, corrected visual acuity was better in eyes operated on within 3 days of cataract surgery compared to eyes operated more than 3 days after cataract surgery (0.64±0.27; 0.43±0.26; respectively, p=0.04). Conclusions: PPV is an effective and safe surgical treatment in eyes with retained lens fragments. The improvement in visual acuity is better in eyes operated on within 3 days of cataract surgery.

Açıklama

Anahtar Kelimeler

Cataract surgery, Pars plana vitrectomy, Retained lens fragments

Kaynak

Retina-Vitreus

WoS Q Değeri

Scopus Q Değeri

Q4

Cilt

17

Sayı

3

Künye

Okudan, S., Gündüz, K., Özkağnıcı, A., Adam, M., Kamış, Ü., Kerimoğlu, H., (2009). Clinical and Surgical Features of Eyes With Retained Lens Fragments During Cataract Surgery and Treatment Results at 6 Months. Retina-Vitreus, 17(3), 185-191.