rss
Br J Ophthalmol 2001;85:1038-1040 doi:10.1136/bjo.85.9.1038
  • Scientific correspondence

Results of vitrectomy performed at the time of phacoemulsification complicated by intravitreal lens fragments

  1. Toshiyuki Kageyama,
  2. Masahiko Ayaki,
  3. Miki Ogasawara,
  4. Chihiro Asahiro,
  5. Shigeo Yaguchi
  1. Department of Ophthalmology, Fujigaoka Hospital, Showa University School of Medicine, Yokohama, Japan
  1. Toshiyuki Kageyama, MD, Department of Ophthalmology, Showa University School of Medicine, Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama 227-8501, Japantkageyama8{at}aol.com
  • Accepted 2 April 2001

Abstract

AIM To evaluate outcome of vitrectomy performed at the time of phacoemulsification complicated by intravitreal lens material.

METHODS Clinical records associated with consecutive 8536 phacoemulsification procedures were reviewed retrospectively.

RESULTS 17 (0.20%) eyes had a posterior capsule rupture with retained lens material in the vitreous cavity that required vitrectomy. Final visual acuity was 0.5 or better in 14 eyes (82%) and 0.4 to 0.1 in three eyes (18%). Retinal detachment occurred in one eye during vitrectomy and two after the surgery. Cystoid macular oedema was observed in two eyes and none developed glaucoma. The corneal endothelial cell loss was 5.7% (SD 6.8 %) (n=15) at 3–6 months postoperatively.

CONCLUSIONS Combined vitrectomy and intraocular lens implantation at the time of phacoemulsification complicated by intravitreal lens material is an option to be considered to reduce the risk of postoperative complications including secondary glaucoma and corneal endothelial cell damage.

Footnotes

    This Article

    1. Abstract
    2. Full text
    3. PDF

    Responses

    1. Submit a response
    2. No responses published

    Register for free content

    The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

    Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.