Management of dislocated nuclear fragments after phacoemulsification.
We examined 13 patients referred for management of dislocated lens fragments after phacoemulsification. Ocular findings included corneal decompensation, glaucoma, inflammation, and retinal tears and detachments. Eleven of the 13 patients underwent vitrectomy with removal of lens fragments. Surgical indications included the presence of large lens fragments, uncontrolled glaucoma, persistent and severe inflammation, and retinal detachment. Better visual acuity was observed in patients who had smaller lens fragments or when vitrectomy was delayed to allow medical treatment of intraocular inflammation and glaucoma. The results indicate that nucleus dislocation during phacoemulsification is an important visual complication, with seven of the 13 patients having a final visual acuity of 20/80 or less.
Fastenberg
D M
DM
Department of Ophthalmology, Long Island Jewish-Hillside Medical Center, Albert Einstein College of Medicine, New Hyde Park, New York.
Schwartz
P L
PL
Shakin
J L
JL
Golub
B M
BM
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000368:Aged; D002387:Cataract Extraction / Q000379:methods; D005260:Female; D006801:Humans; D007907:Lens Nucleus, Crystalline / Q000601:surgery; D007906:Lens Subluxation / Q000209:etiology* / Q000628:therapy; D008028:Light Coagulation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011184:Postoperative Period; D012086:Reoperation; D014792:Visual Acuity; D014821:Vitrectomy
D000305:Adrenal Cortex Hormones