Management of retained intravitreal lens fragments after phacoemulsification surgery

Chang Sue Yang, Fenq Lih Lee, Wen-Ming Hsu, Jorn Hon Liu

研究成果: 雜誌貢獻文章

21 引文 斯高帕斯(Scopus)

摘要

Purpose: To evaluate the clinical features of eyes with retained intravitreal lens fragments after phacoemulsification surgery and to assess the guidelines of management and the visual outcome after vitrectomy. Methods: Twenty-five consecutive patients referred to our institute for retained intravitreal lens fragments after phacoemulsification cataract surgery were evaluated retrospectively over a 7-year period. Results: The clinical features of retained lens fragments included deceased visual acuity of 6/60 or worse (68%), uveitis (60%), glaucoma (48%), corneal edema (44%) and retinal detachment in 2 patients (8%). There were 24 patients who underwent pars plana vitrectomy; 1 patient was managed with medical therapy. After vitrectomy, 17 eyes (71%) showed visual improvement, and final visual acuity was 6/12 or better in 13 eyes (54%). The causes of poor final visual outcome of 6/60 or worse included retinal detachment and cystoid macular edema. The time interval between vitrectomy and phacoemulsification was within 4 weeks in 17 patients (71%), ranging from on the same day to 97 days. There was only a trend of better visual outcome in early vitrectomy patients (within 1 week). There was no statistical difference between the initial intraocular lens status and final visual acuity. Conclusion: Vitrectomy with removal of retained intravitreal lens fragments is beneficial for patients with persistent uveitis and glaucoma after phacoemulsification. In the majority of patients, visual improvement was achieved after vitrectomy. However, poor visual outcome may occur secondary to retinal detachment and cystoid macular edema.

原文英語
頁(從 - 到)192-197
頁數6
期刊Ophthalmologica
216
發行號3
DOIs
出版狀態已發佈 - 六月 26 2002
對外發佈Yes

    指紋

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems

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