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228540

Clinical Outcomes of Vitrectomy for Dislocated Lens Fragments and/or Intraocular Lens

Article

Last updated: 28 Dec 2024

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Tags

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Abstract

Posterior dislocation of lens fragments is an uncommon complication of phacoemulsification. However, it is associated with sight-threatening sequelae. These may include intraocular inflammation, secondary glaucoma, corneal edema, cystoid macular edema, and retinal detachment. Proper management is crucial to reduce the risk of these complications. Pars plana vitrectomy with intravitreal emulsification of retained lens fragments is indicated. Optimal timing for intervention is controversial. The aim of this study was to determine clinical outcomes of prompt, early and late pars plana vitrectomy for dislocated lens fragments and / or IOL. Thirty-five eyes were included and divided into three subgroups according to the timing of PPV (prompt, early and late). All eyes underwent 23-gauge PPV. The results illustrated that 22.2 % of prompt PPV achieve good visual outcome compared to only 8.3% and 7.14 % in early and late subgroups respectively. More than one third of cases (35.7 %) in late PPV ended with poor visual outcome. We concluded that timing of PPV is an important factor affecting clinical outcomes in cases complicated with dislocated nuclear fragments and/or IOL. The prompt PPV was associated with the best outcome followed by the early PPV. Delayed PPV had the worst prognosis.

DOI

10.21608/sjyr.2022.228540

Keywords

Dislocated lens fragments, Pars plane vitrectomy, cystoid macular edema

Authors

First Name

Alaa

Last Name

Sinjab

MiddleName

-

Affiliation

Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt 82524

Email

alaa.abdelsadek@med.sohag.edu.eg

City

Sohag

Orcid

0000-0002-2630-6943

First Name

Gamal

Last Name

Radwan

MiddleName

-

Affiliation

Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt 82524

Email

-

City

Sohag

Orcid

-

First Name

Engy

Last Name

Mostafa

MiddleName

-

Affiliation

Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt 82524

Email

-

City

Sohag

Orcid

-

First Name

Mahmoud

Last Name

Farouk

MiddleName

-

Affiliation

Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt 82524

Email

-

City

Sohag

Orcid

-

Volume

2

Article Issue

5

Related Issue

32746

Issue Date

2022-02-01

Receive Date

2022-01-13

Publish Date

2022-02-01

Page Start

1

Page End

9

Print ISSN

2735-5535

Online ISSN

2735-5543

Link

https://sjyr.journals.ekb.eg/article_228540.html

Detail API

https://sjyr.journals.ekb.eg/service?article_code=228540

Order

228,540

Type

المقالة الأصلية

Type Code

2,240

Publication Type

Journal

Publication Title

مجلة سوهاج لشباب الباحثين

Publication Link

https://sjyr.journals.ekb.eg/

MainTitle

Clinical Outcomes of Vitrectomy for Dislocated Lens Fragments and/or Intraocular Lens

Details

Type

Article

Created At

23 Jan 2023