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Retained intravitreal lens fragments after cataract surgery
G D Gilliland1, W L Hutton, D G Fuller
1University of Texas Southwestern Medical Center, Dallas.
Ophthalmology
|August 1, 1992
Summary
Vitrectomy effectively removes retained lens fragments after cataract surgery, restoring vision and resolving complications like glaucoma and uveitis. Intraocular lens (IOL) implantation during cataract surgery is safe even with dislocated fragments.
Area of Science:
- Ophthalmology
- Surgical Complications
Background:
- Retained lens fragments are a potential complication following cataract surgery.
- These fragments can lead to significant ocular morbidity.
Purpose of the Study:
- To review the benefits and complications of vitrectomy for retained lens fragments.
- To assess the impact of intraocular lens (IOL) presence on outcomes.
Main Methods:
- Retrospective chart review of 65 patients with retained lens fragments.
- Analysis of 56 patients who underwent vitrectomy.
- Comparison of outcomes in eyes with and without an IOL.
Main Results:
- Complications included glaucoma (52%), corneal edema (46%), uveitis (56%), and decreased vision (100%).
- Vitrectomy effectively treated these sequelae, regardless of IOL presence or cataract surgery type.
- Surgical timing did not impact final vision or glaucoma incidence.
Conclusions:
- Vitrectomy offers rapid visual restoration and improves management of uveitis and glaucoma.
- IOL insertion during cataract surgery is feasible and safe in the presence of dislocated lens fragments if performed cautiously.