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[The vitreous in aphakia]

J B Saracco, A Cornand, G Estachy

    Ophthalmologica. Journal International D'Ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde
    |January 1, 1978
    PubMed
    Summary
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    Aphakic eyes show significant vitreous complications, including posterior vitreous detachment in 69.3%. These findings indicate aphakia is not a normal physiological state and requires careful monitoring for retinal issues.

    Area of Science:

    • Ophthalmology
    • Vitreoretinal Surgery

    Context:

    • Study of 150 aphakic eyes following uneventful cataract surgery.
    • Utilized slit-lamp biomicroscopy and Goldmann three-mirror gonioscopy for examination.

    Purpose:

    • To investigate the incidence and nature of vitreous complications in aphakic eyes.
    • To assess the implications of these findings on the physiological status of aphakic patients.

    Summary:

    • Identified two primary vitreous lesions: anterior hyaloid membrane rupture (42%) and posterior vitreous detachment (69.3%).
    • Posterior vitreous detachment is a more serious complication, frequently associated with retinal pathologies like hemorrhages, pigmentary changes, and retinal tears.
    • The high prevalence of these lesions suggests aphakia is not a normal physiological condition.

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    Impact:

    • Highlights the increased risk of retinal complications in aphakic patients.
    • Emphasizes the need for vigilant follow-up and management of aphakic individuals.
    • Contributes to understanding the long-term consequences of cataract surgery and aphakia.