Vitrectomy for retained lens fragments in the vitreous after phacoemulsification.
(2002) In Journal of Cataract and Refractive Surgery 28(6). p.1007-1011- Abstract
- PURPOSE: To assess the visual results, retinal detachment (RD) rate, incidence of glaucoma, and intraocular lens (IOL) placement after vitrectomy for removal of retained lens fragments in the vitreous after phacoemulsification. SETTING: Department of Ophthalmology, University Hospital of Lund, Lund, Sweden. METHODS: This retrospective noncomparative interventional case series included all cases of pars plana vitrectomy for removal of retained lens fragments from January 1997 through January 2000. RESULTS: Sixty-six eyes of 65 patients had pars plana vitrectomy with removal of the lens material over the 3-year period. Visual acuity on presentation was 0.1 or worse in 36 eyes (54%). Visual acuity after vitrectomy was 0.5 or better in 35 eyes... (More)
- PURPOSE: To assess the visual results, retinal detachment (RD) rate, incidence of glaucoma, and intraocular lens (IOL) placement after vitrectomy for removal of retained lens fragments in the vitreous after phacoemulsification. SETTING: Department of Ophthalmology, University Hospital of Lund, Lund, Sweden. METHODS: This retrospective noncomparative interventional case series included all cases of pars plana vitrectomy for removal of retained lens fragments from January 1997 through January 2000. RESULTS: Sixty-six eyes of 65 patients had pars plana vitrectomy with removal of the lens material over the 3-year period. Visual acuity on presentation was 0.1 or worse in 36 eyes (54%). Visual acuity after vitrectomy was 0.5 or better in 35 eyes (53%). The postoperative visual acuity was worse than 0.1 in 14 eyes (21%). Twenty-seven (56%) of the 48 eyes operated on within 1 week and 8 (44%) of the 18 eyes operated on later achieved a visual acuity of 0.5 or better. Twelve eyes (80%) that had secondary posterior chamber IOL implantation achieved an acuity of 0.5 or better. An RD occurred in 7 eyes (11%). CONCLUSIONS: There was no statistically significant difference in outcomes between those having vitrectomy the first few days after cataract surgery and those having it later, although there was a trend toward better results when the vitrectomy was done sooner. Secondary IOL implantation resulted in a good visual outcome. Retinal detachment was the most severe complication. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/108598
- author
- Hansson, Lars Jörgen and Larsson, Jörgen LU
- organization
- publishing date
- 2002
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Lens Subluxation : etiology, Intraocular, Lens Implantation, Human, Female, 80 and over, Aged, Adult, Postoperative Complications, Retrospective Studies, Visual Acuity, Vitrectomy : methods, Vitreous Body : pathology, Vitreous Body : surgery, Lens Subluxation : surgery, Male, Middle Age, Phacoemulsification : adverse effects
- in
- Journal of Cataract and Refractive Surgery
- volume
- 28
- issue
- 6
- pages
- 1007 - 1011
- publisher
- Elsevier
- external identifiers
-
- wos:000175914300029
- pmid:12036645
- scopus:0036268127
- ISSN
- 1873-4502
- DOI
- 10.1016/S0886-3350(01)01223-8
- language
- English
- LU publication?
- yes
- id
- c36e8930-6a60-4dda-a14b-2ecf0ee8003c (old id 108598)
- alternative location
- http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12036645&dopt=Abstract
- date added to LUP
- 2016-04-01 12:11:40
- date last changed
- 2022-01-27 00:16:13
@article{c36e8930-6a60-4dda-a14b-2ecf0ee8003c,
abstract = {{PURPOSE: To assess the visual results, retinal detachment (RD) rate, incidence of glaucoma, and intraocular lens (IOL) placement after vitrectomy for removal of retained lens fragments in the vitreous after phacoemulsification. SETTING: Department of Ophthalmology, University Hospital of Lund, Lund, Sweden. METHODS: This retrospective noncomparative interventional case series included all cases of pars plana vitrectomy for removal of retained lens fragments from January 1997 through January 2000. RESULTS: Sixty-six eyes of 65 patients had pars plana vitrectomy with removal of the lens material over the 3-year period. Visual acuity on presentation was 0.1 or worse in 36 eyes (54%). Visual acuity after vitrectomy was 0.5 or better in 35 eyes (53%). The postoperative visual acuity was worse than 0.1 in 14 eyes (21%). Twenty-seven (56%) of the 48 eyes operated on within 1 week and 8 (44%) of the 18 eyes operated on later achieved a visual acuity of 0.5 or better. Twelve eyes (80%) that had secondary posterior chamber IOL implantation achieved an acuity of 0.5 or better. An RD occurred in 7 eyes (11%). CONCLUSIONS: There was no statistically significant difference in outcomes between those having vitrectomy the first few days after cataract surgery and those having it later, although there was a trend toward better results when the vitrectomy was done sooner. Secondary IOL implantation resulted in a good visual outcome. Retinal detachment was the most severe complication.}},
author = {{Hansson, Lars Jörgen and Larsson, Jörgen}},
issn = {{1873-4502}},
keywords = {{Lens Subluxation : etiology; Intraocular; Lens Implantation; Human; Female; 80 and over; Aged; Adult; Postoperative Complications; Retrospective Studies; Visual Acuity; Vitrectomy : methods; Vitreous Body : pathology; Vitreous Body : surgery; Lens Subluxation : surgery; Male; Middle Age; Phacoemulsification : adverse effects}},
language = {{eng}},
number = {{6}},
pages = {{1007--1011}},
publisher = {{Elsevier}},
series = {{Journal of Cataract and Refractive Surgery}},
title = {{Vitrectomy for retained lens fragments in the vitreous after phacoemulsification.}},
url = {{http://dx.doi.org/10.1016/S0886-3350(01)01223-8}},
doi = {{10.1016/S0886-3350(01)01223-8}},
volume = {{28}},
year = {{2002}},
}