title: Pars plana vitrectomy in the management of retained intravitreal lens fragments after cataract surgery.
abstract: OBJECTIVE
  To assess the outcome of patients who underwent pars plana vitrectomy for retained lens fragments after cataract surgery.
  
  
  METHODS
  A retrospective study of all consecutive cases with pars plana vitrectomy performed for retained lens fragment was conducted. Twenty-seven eyes of 27 patients were included in the study.
  
  
  RESULTS
  Twenty-four (89.9%) eyes received phacoemulsification. Pars plana vitrectomy was performed at the same sitting, or ranged from day 1-70 after cataract surgery. The mean follow up was 31.1 months. Final visual acuity of 6/12 or better was achieved in 15 (55.6%) patients. After excluding patients with pre-existing eye diseases, 68.4% of patients had visual acuity 6/12 or better. Complications after pars plana vitrectomy included glaucoma (22.2%), retinal detachment (11.1%) and surgically induced necrotizing scleritis (3.7%).
  
  
  CONCLUSIONS
  Ocular complications with poor visual outcome can occur after removal of intravitreal retained lens fragments complicating cataract surgery.
authors.affiliation: Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Kowloon, Hong Kong. kwokak@netvigator.com
authors.forename: Alvin K H
authors.initials: AK
authors.lastname: Kwok
authors.forename: Kenneth K W
authors.initials: KK
authors.lastname: Li
authors.forename: Timothy Y Y
authors.initials: TY
authors.lastname: Lai
authors.forename: Dennis S C
authors.initials: DS
authors.lastname: Lam
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*; D007906:Lens Subluxation / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*