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Vitrectomy for retained lens fragments in the vitreous after phacoemulsification.

Hansson, Lars Jörgen and Larsson, Jörgen LU (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)
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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
2007-07-09 09:22:39
date last changed
2017-04-09 03:38:18
@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},
  keyword      = {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},
  volume       = {28},
  year         = {2002},
}