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163054

COMPARATIVE STUDY OF VISUAL OUTCOME OF EARLY VERSUS DELAYED PARS PLANA VITRECTOMY IN PATIENTS COMPLICATED WITH DROPPED NUCLEUS DURING PHACOEMULSIFICATION

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Last updated: 23 Jan 2023

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Abstract

Purpose: To evaluate the controversy of early and delayed pars plana Vitrectomy (PPV) for
posteriorly dislocated lens fragments after phacoemulsification. Patients and Methods: A
Prospective study was conducted on all consecutive cases (30 patients) with parsplana
Vitrectomy performed for retained lens fragment. In first group: 15 eyes (50%), PPV were
performed within 1 week of cataract extraction and in second group 15 eyes (50 %), PPV were
performed more than 1 week post cataract extraction from January 2016 to November 2017.
Results: In the first group, 67 % of the patients had a final Visual acuity of 0.3 or better, but
27% of them achieved a final Visual acuity of 0.5 or better. The mean improvement of Visual
acuity in the 1st week was 0.13 ±0.14, in one month 0.18 ±0.16, 0.28 ±0.21 in the 3rd month and
0.37 ±0.23 at the end of the 6th month .In the second group, 34 % of the patients had a final
Visual acuity of 0.3 or better, but 14% of them achieved a final Visual acuity of 0.5 or better. The
mean improvement of Visual acuity in the 1st week was 0.09 ±0.07, in one month 0.14±0.09,
0.19±0.13 in the 3rd month and 0.24±0.17 at the end of the 6th month. Conclusions: The visual
outcome of the first group in our study is better than that of the second group but with no
statistical significance (P value more than 0.05), the results did not indicate an association
between clinical outcomes and whether the patient had an early or delayed PPV, However,
there was evidence that early PPV may produce better outcomes than delayed PPV.

DOI

10.21608/ejco.2018.163054

Keywords

Nucleus loss, Retained lens fragment, Pars Plana Vitrectomy, Phacoemulsification

Authors

First Name

Osman,

Last Name

H.

MiddleName

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Affiliation

Ophthalmology dept., Faculty of Medicine, Al-Azhar Univ., Assiut, Egypt

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First Name

Elagouz,

Last Name

M.

MiddleName

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Affiliation

Ophthalmology dept., Faculty of Medicine, Al-Azhar Univ., Assiut, Egypt

Email

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City

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Orcid

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First Name

Abd El- badie,

Last Name

M.

MiddleName

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Affiliation

Ophthalmology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

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Orcid

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Volume

1

Article Issue

2

Related Issue

23737

Issue Date

2018-12-01

Receive Date

2018-07-17

Publish Date

2018-12-01

Page Start

89

Page End

95

Print ISSN

2537-0502

Online ISSN

2537-0944

Article File

EJCO_Volume 1_Issue 2_Pages 89-95.pdf

PDF . 129.1kB

Link

https://ejco.journals.ekb.eg/article_163054.html

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https://ejco.journals.ekb.eg/service?article_code=163054

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7

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Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Type Code

1,824

Publication Type

Journal

Publication Title

Egyptian Journal of Clinical Ophthalmology

Publication Link

https://ejco.journals.ekb.eg/

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Article

Created At

23 Jan 2023