Combined pars plana phacofragmentation, vitrectomy, and Artisan lens implantation for traumatic subluxated cataracts.
OBJECTIVE
To report on the outcome of combined pars plana phacofragmentation, vitrectomy, and Artisan lens implantation in the management of subluxated cataracts.


METHODS
This prospective, interventional, nonrandomized case series included nine eyes of seven consecutive adult patients with traumatic lens subluxation. Pre- and postoperative data (complete manifest refraction, best spectacle-corrected visual acuity, slit-lamp examination findings, intraocular pressure, fundus status, numerical density of endothelial cells, corneal thickness, and complications) were collected prospectively for all patients.


RESULTS
After a median postoperative follow-up of 12 months (range, 8-18 months), a mean spherical equivalent of -0.50 +/- 0.87 diopter (range, +1 to -1.50 diopter) was achieved. The mean logarithm of the minimum angle of resolution visual acuity improved from 1 (preoperatively) to 0.1 (postoperatively) (P = 0.007, Wilcoxon test). Median endothelial cell losses of 15 +/- 8% (P = 0.008) and 14 +/- 16% (P = 0.011) were registered at follow-ups of 1 month and 12 months, respectively. Postoperative complications included chronic intraocular inflammation and superior corectopia.


CONCLUSIONS
Our procedure appears to be a safe, accurate, stable, and efficacious option for the management of traumatic subluxated cataracts in adults. However, longer-term data are needed to evaluate the corneal endothelium.
Kodjikian
Laurent
L
Department of Ophthalmology, Croix-Rousse Hospital, 103, grande rue de la Croix-Rousse, Lyon 69004, France. kodjikian.laurent@wanadoo.fr
Beby
Francis
F
Spire
Myriam
M
Gambrelle
Joel
J
Hubert
Isabelle
I
Burillon
Carole
C
Grange
Jean-Daniel
JD
Garweg
Justus G
JG
D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000209:etiology*; D002452:Cell Count; D004728:Endothelium, Corneal / Q000473:pathology; D005131:Eye Injuries / Q000150:complications*; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular; D007906:Lens Subluxation / Q000209:etiology / Q000601:surgery*; D007908:Lens, Crystalline / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications; D011446:Prospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy