Management of dislocated lens fragments following phacoemulsification surgery.
Twelve patients with retained nuclear lens fragments following phacoemulsification surgery were referred for management. Ocular findings included corneal edema in 4 (33%), elevated intraocular pressure in 6 (50%), vitreous inflammation in 10 (83%) and retinal detachment in 1 (8%). At initial examination 10 of the patients had a visual acuity of 20/200 or less. Two patients were managed conservatively with medical treatment and regained 20/20 and 20/25 vision. Ten patients required pars plana vitrectomy; in six a posterior chamber lens was sutured into the ciliary sulcus after vitrectomy was completed. Postoperatively, 5 of the 10 surgically treated patients regained 20/40 or better vision. Preexisting age-related macular degeneration and chronic cystoid macular edema were the causes of a poor visual result.
Ross
W H
WH
Department of Ophthalmology, University of British Columbia, Vancouver.
D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000009:adverse effects*; D015715:Corneal Edema / Q000209:etiology; D005128:Eye Diseases / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007906:Lens Subluxation / Q000209:etiology / Q000601:surgery*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D009798:Ocular Hypertension / Q000209:etiology; D012163:Retinal Detachment / Q000209:etiology; D012307:Risk Factors; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body