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Vitreoretinal surgery for retained lens fragments after phacoemulsification
O Murat Uyar1, Z Kapran, F Akkan
1Department of Ophthalmology, SSK Istanbul Hospital, Istanbul, Turkey. omuyar@superonline.com
European Journal of Ophthalmology
|March 15, 2003
Summary
Vitreoretinal surgery effectively removes retained lens fragments after phacoemulsification, improving vision and reducing intraocular pressure (IOP) and inflammation. Outcomes are favorable, with over half achieving good visual acuity.
Area of Science:
- Ophthalmology
- Retina and Vitreous Surgery
Background:
- Retained lens fragments after phacoemulsification can lead to complications.
- Vitreoretinal surgery is a potential treatment option.
Purpose of the Study:
- To evaluate prognostic factors for vitreoretinal surgery.
- To assess the impact of surgical timing on outcomes.
- To determine the effectiveness of vitreoretinal surgery for retained lens fragments.
Main Methods:
- Retrospective review of 43 eyes undergoing vitreoretinal surgery for retained lens fragments.
- Data collected on pre- and post-operative visual acuity, intraocular pressure (IOP), and ocular findings.
- Analysis of surgical timing, fragment removal sites, and intraocular lens (IOL) implantation.
Main Results:
- Final best-corrected visual acuity (BCVA) of >= 20/40 achieved in 56% of patients.
- Mean IOP significantly reduced post-surgery (27.4 mmHg to 15.2 mmHg).
- Uveitis resolved in all cases; corneal edema persisted in only one eye.
Conclusions:
- Vitreoretinal surgery is effective in managing retained lens fragments post-phacoemulsification.
- Surgery successfully lowers IOP and resolves inflammation and corneal edema.
- Achieving BCVA of >= 20/40 is possible in over half of the patients.