Pars Plana Vitrectomy Combined With Either Secondary Scleral-Fixated or Anterior Chamber Intraocular Lens Implantation
| Autor: | James S. Topilow, Xin He, Ling Cai, Alexander Melamud |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Pars plana
medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment Vitrectomy Aphakia 03 medical and health sciences 0302 clinical medicine Ophthalmology medicine business.industry Retinal detachment medicine.disease eye diseases Sclera Surgery medicine.anatomical_structure 030221 ophthalmology & optometry sense organs Epiretinal membrane medicine.symptom Complication business 030217 neurology & neurosurgery |
| Zdroj: | American Journal of Ophthalmology. 168:177-182 |
| ISSN: | 0002-9394 |
| DOI: | 10.1016/j.ajo.2016.05.006 |
| Popis: | Purpose To compare visual outcomes among eyes that underwent pars plana vitrectomy (PPV) in combination with either anterior chamber intraocular lens implantation (ACIOL) or scleral suturing of posterior chamber lens (PCIOL). Design Retrospective comparative case series. Methods All eyes presented with aphakia or luxated or subluxated posterior chamber intraocular lens (IOL) following complicated cataract surgery, trauma, or spontaneous dislocation. Eyes involving visually significant macular pathology, past retinal detachment, follow-up of less than 6 months, and surgeries requiring the removal of an ACIOL were excluded. The main outcomes measured were final best-corrected visual acuity (BCVA) and surgical complication rates. Results Fifty-seven eyes met inclusion criteria; median follow-up was 13.2 months. Initial median BCVA for ACIOL patients was logMAR 1.301 (Snellen equivalent 20/400, range 20/20 to light perception); final median BCVA was logMAR 0.477 (Snellen equivalent 20/60, range 20/20 to light perception, P P P > .05). More epiretinal membrane (ERM) formations occurred postoperatively in the ACIOL group ( P = .011). Other complication rates were similar between both groups. Conclusions PPV with secondary IOL placement is safe and effective, resulting in improved visual outcomes regardless of the technique used. Patients undergoing ACIOL placement have a higher incidence of ERM formation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect