TY - JOUR
T1 - Retinal breaks in vitrectomy for retained lens fragments
AU - Tan, H. Stevie
AU - Mura, Marco
AU - Oberstein, Sarit Y.Lesnik
AU - Bijl, Heico M.
PY - 2012/10/1
Y1 - 2012/10/1
N2 - 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.
AB - 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.
KW - complications
KW - dropped nucleus
KW - retained lens fragments
KW - retinal breaks
KW - rhegmatogenous retinal detachment
KW - vitrectomy
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UR - http://www.scopus.com/inward/citedby.url?scp=84866950730&partnerID=8YFLogxK
U2 - 10.1097/IAE.0b013e3182576d46
DO - 10.1097/IAE.0b013e3182576d46
M3 - Article
C2 - 22665068
AN - SCOPUS:84866950730
SN - 0275-004X
VL - 32
SP - 1756
EP - 1760
JO - Retina
JF - Retina
IS - 9
ER -