23-Gauge Transconjunctival Sutureless Vitrectomy for Retained Lens Fragments After Complicated Cataract Surgery
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Date
2012
Journal Title
Journal ISSN
Volume Title
Publisher
Lippincott Williams & Wilkins
Access Rights
info:eu-repo/semantics/closedAccess
Abstract
Purpose: The purpose of this study was to evaluate the effectiveness and safety of 23-gauge (23-G) transconjunctival sutureless vitrectomy in patients with retained lens fragments after complicated cataract surgery. Methods: In this retrospective consecutive case series, 17 eyes of 17 patients with retained lens fragments after complicated cataract surgery and managed by using 23-G transconjunctival sutureless vitrectomy were evaluated between January 2007 and March 2009 at our institution. Results: Mean follow-up time was 8.5 +/- 3.00 months. Nine patients (53%) were pseudophakic, and 8 (47%) were aphakic. A foldable acrylic intraocular lens was implanted in eight eyes with aphakia. In 2 eyes (11.8%), one of 23-G sclerotomy port was enlarged and intravitreal phacoemulsification was performed with 20-gauge phacofragmatome to remove hard nucleus. Visual acuity improved in 100% of eyes and was 20/40 or better in 70.6% of eyes. Postoperative complications were transient elevation of intraocular pressure (29.4%), decentralization of the intraocular lens (5.9%), fibrin reaction (5.9%), mild vitreous hemorrhage (5.9%), and macular retinal pigment epithelial changes (5.9%). Conclusion: Twenty-three-gauge transconjunctival sutureless vitrectomy was observed to be effective and safe in patients with retained lens fragments after complicated cataract surgery. In cases with hard nucleus, 23-G vitrectomy probe may not be adequate to remove the lens fragments. RETINA 32: 493-498, 2012
Description
Keywords
transconjunctival sutureless vitrectomy, vitreoretinal surgery, 23-gauge vitrectomy, retained lens fragments, phacoemulsification, Pars-Plana Vitrectomy, Retinal-Detachment, Management, Phacoemulsification, Outcomes, System
Journal or Series
Retina-The Journal of Retinal and Vitreous Diseases
WoS Q Value
Q1
Scopus Q Value
Q1
Volume
32
Issue
3
