Retinal breaks in vitrectomy for retained lens fragments

H. Stevie Tan, Marco Mura, Sarit Y.Lesnik Oberstein, Heico M. Bijl

Research output: Contribution to journalArticle

Abstract

PURPOSE: To describe the incidence and outcome of retinal breaks in vitrectomy for retained lens fragments. METHODS: This is a retrospective noncomparative interventional case series. Medical records of consecutive cases of vitrectomy for retained lens fragments over a period of 4 years were reviewed. Main outcome measures were incidence of breaks, visual acuity outcome, and occurrence of postoperative complications. RESULTS: We included 89 consecutive cases in 89 patients. The median interval between cataract surgery and vitrectomy was 2 days (range, 0-106 days). Visual acuity at last follow-up was ≥0.5 in 70% of cases. During surgery, retinal breaks were found in 29% of cases. Induction of a posterior vitreous detachment, the use of a fragmatome, or delay between cataract surgery and vitrectomy did not influence retinal break incidence. Postoperative retinal detachment occurred in only 2% of cases. Other complications were intraoperative choroidal hemorrhage in 1 case, postoperative macular pucker in 2, postoperative macular edema in 1, and glaucoma in 2 cases. CONCLUSION: We identified a high number of retinal breaks during vitrectomy for retained lens fragments. Prophylactic treatment of breaks and other areas of retinal traction seem to reduce the risk of postoperative retinal detachment.

Original languageEnglish (US)
Pages (from-to)1756-1760
Number of pages5
JournalRetina
Volume32
Issue number9
DOIs
StatePublished - Oct 1 2012

    Fingerprint

Keywords

  • complications
  • dropped nucleus
  • retained lens fragments
  • retinal breaks
  • rhegmatogenous retinal detachment
  • vitrectomy

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Tan, H. S., Mura, M., Oberstein, S. Y. L., & Bijl, H. M. (2012). Retinal breaks in vitrectomy for retained lens fragments. Retina, 32(9), 1756-1760. https://doi.org/10.1097/IAE.0b013e3182576d46