Results of vitrectomy performed at the time of phacoemulsification complicated by intravitreal lens fragments.
OBJECTIVE
To evaluate outcome of vitrectomy performed at the time of phacoemulsification complicated by intravitreal lens material.


METHODS
Clinical records associated with consecutive 8536 phacoemulsification procedures were reviewed retrospectively.


RESULTS
17 (0.20%) eyes had a posterior capsule rupture with retained lens material in the vitreous cavity that required vitrectomy. Final visual acuity was 0.5 or better in 14 eyes (82%) and 0.4 to 0.1 in three eyes (18%). Retinal detachment occurred in one eye during vitrectomy and two after the surgery. Cystoid macular oedema was observed in two eyes and none developed glaucoma. The corneal endothelial cell loss was 5.7% (SD 6.8 %) (n=15) at 3-6 months postoperatively.


CONCLUSIONS
Combined vitrectomy and intraocular lens implantation at the time of phacoemulsification complicated by intravitreal lens material is an option to be considered to reduce the risk of postoperative complications including secondary glaucoma and corneal endothelial cell damage.
Kageyama
T
T
Department of Ophthalmology, Fujigaoka Hospital, Showa University School of Medicine, Yokohama, Japan. tkageyama8@aol.com
Ayaki
M
M
Ogasawara
M
M
Asahiro
C
C
Yaguchi
S
S
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007906:Lens Subluxation / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects*; D012163:Retinal Detachment / Q000209:etiology; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000009:adverse effects