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[Pars plana lensectomy II - Short- and long-term complications]

Y Bokobza, P Girard, A Pasticier

    Journal Francais D'Ophtalmologie
    |January 1, 1982
    PubMed
    Summary

    Pars plana lensectomies and membranulectomies are effective for posterior capsule issues. While rare, severe complications like Irvine's syndrome and retinal detachment necessitate careful patient selection and prophylactic measures.

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    Area of Science:

    • Ophthalmology
    • Surgical Techniques
    • Retinal Surgery

    Context:

    • Posterior capsule opacification and secondary membrane formation can impair vision after cataract surgery.
    • Pars plana approaches offer an alternative for managing these complications.

    Purpose:

    • To evaluate the safety and efficacy of pars plana lensectomies and membranulectomies.
    • To identify and analyze late complications associated with these procedures.

    Summary:

    • Sixty-seven eyes underwent pars plana lensectomies or membranulectomies with posterior capsule removal.
    • No procedure-specific perioperative complications were noted.
    • Late complications included Irvine's syndrome (5 eyes) and retinal detachment (5 eyes).
    • Systematic posterior capsule removal was encouraged after Irvine's syndrome cases.

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  • Retinal detachments were more common in traumatic cataract cases, suggesting prophylactic vitrectomy is crucial.

    • Impact:

    • The pars plana approach is deemed effective and safe for managing cataracts and secondary membranes.
    • Highlights the importance of prophylactic vitrectomy in high-risk eyes to prevent retinal detachment.
    • Informs surgical decision-making regarding posterior capsule management and complication prevention.