[Dislocation of lens particles during cataract surgery].
BACKGROUND
The charts of 46 patients with dislocated lens particles during cataract surgery were reviewed. Forty patients had trans-pars plana vitrectomy; 5 were treated medically and one had retinal detachment repair only.


METHODS
The following complications were associated with dislocated lens particles: uveitis 87%, glaucoma 66%, corneal edema 71%, retinal detachment 5%.


RESULTS
The vision on the initial visit was 20/200 or worse in 85%. After vitrectomy the final vision was 20/40 or better in 58%. Visual acuity of 20/40 or better was obtained in 72% of patients who had surgery the same day; in 55% who had surgery later and in 64% with initial IOL placement. Insertion of an intraocular lens at the time of cataract surgery is not contraindicated.


CONCLUSIONS
The best visual acuity occurred in patients who had vitrectomy the same day as cataract surgery. Small lens particles may be left in the eye. Trans-pars plana vitrectomy is a successful method of treatment of dislocated lens particles during cataract surgery.
Milewski
S A
SA
Yale University, Hartford, USA.
Stoj
M J
MJ
Judson
P H
PH
D000368:Aged; D002387:Cataract Extraction / Q000009:adverse effects*; D015715:Corneal Edema / Q000453:epidemiology / Q000209:etiology; D005128:Eye Diseases / Q000453:epidemiology* / Q000209:etiology; D005547:Foreign Bodies / Q000209:etiology*; D005901:Glaucoma / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D015994:Incidence; D007910:Lenses, Intraocular; D012163:Retinal Detachment / Q000453:epidemiology / Q000209:etiology; D014605:Uveitis / Q000453:epidemiology / Q000209:etiology; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body