Visual results following vitreous loss and primary lens implantation.
Implantation of an intraocular lens following vitreous loss at cataract surgery is a controversial decision. To address this issue, we retrospectively identified all cases performed at the University of Minnesota in the last three years that had either a posterior or an anterior chamber lens placed following anterior vitrectomy. Twenty patients had a posterior chamber lens implant; 14 had follow-up longer than six months. All these patients achieved 20/40 or better visual acuity, although one patient had a retinal detachment. Of the six patients with an anterior chamber lens implant, four achieved 20/40 or better acuity and two achieved 20/50 acuity with follow-up of six months; one patient had a retinal detachment. This review demonstrates that with a meticulous anterior vitrectomy, good visual results can be achieved, although the risk of retinal detachment is higher than in uncomplicated cases.
Spigelman
A V
AV
Department of Ophthalmology, University of Minnesota, Minneapolis 55455.
Lindstrom
R L
RL
Nichols
B D
BD
Lindquist
T D
TD
D002387:Cataract Extraction / Q000009:adverse effects*; D006801:Humans; D007910:Lenses, Intraocular; D008269:Macular Edema / Q000175:diagnosis / Q000453:epidemiology; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000209:etiology; D012189:Retrospective Studies; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body / Q000293:injuries*