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 2012
Externally publishedYes

Fingerprint

Retinal Perforations
Vitrectomy
Lenses
Retinal Detachment
Cataract
Visual Acuity
Incidence
Choroid Hemorrhage
Vitreous Detachment
Macular Edema
Intraoperative Complications
Traction
Glaucoma
Medical Records
Outcome Assessment (Health Care)

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

Retinal breaks in vitrectomy for retained lens fragments. / Tan, H. Stevie; Mura, Marco; Oberstein, Sarit Y Lesnik; Bijl, Heico M.

In: Retina, Vol. 32, No. 9, 10.2012, p. 1756-1760.

Research output: Contribution to journalArticle

Tan, HS, Mura, M, Oberstein, SYL & Bijl, HM 2012, 'Retinal breaks in vitrectomy for retained lens fragments', Retina, vol. 32, no. 9, pp. 1756-1760. https://doi.org/10.1097/IAE.0b013e3182576d46
Tan, H. Stevie ; Mura, Marco ; Oberstein, Sarit Y Lesnik ; Bijl, Heico M. / Retinal breaks in vitrectomy for retained lens fragments. In: Retina. 2012 ; Vol. 32, No. 9. pp. 1756-1760.
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