Abstract | PURPOSE: SETTING: Medical and Vision Research Foundations, Sankara Nethralaya, Chennai, India. METHODS: The records of 86 patients (100 eyes) with pars planitis who had phacoemulsification with IOL implantation between January 1997 and April 2003 were retrospectively analyzed. The eyes were divided into 3 groups depending on IOL biomaterial: poly(methyl methacrylate) ( PMMA) (n=32), heparin-surface-modified PMMA (n=39), or acrylic (n=29). The postoperative visual outcome and complications in each group were analyzed. RESULTS: Forty-seven patients were men and 39, women. The mean age was 38 years (range 10 to 65 years) and the mean follow-up, 19.67 months (range 3.00 to 54.53 months). At the final follow-up, 91 eyes (91%) had better visual acuity than preoperatively; 79 had an improvement of 2 or more Snellen lines, 12 had an improvement of 1 Snellen line, 4 had no change, and 5 had a decrease as a result of reactivation of the pars planitis and progression of cystoid macular edema (CME). Significant posterior capsule opacification occurred in 10 eyes (10%), CME in 50 eyes (50%), reactivation of pars planitis in 51 eyes (51%), IOL deposits in 29 eyes (29%), IOL decentration in 1 eye (1%), and anterior capsule fibrosis in 14 eyes (14%). The most frequent cause of poor visual recovery was CME, submacular fibrosis, and epiretinal membrane. There was no statistically significant difference in these complications between the 3 groups. CONCLUSIONS:
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Authors | Sudha K Ganesh, Kalpana Babu, Jyotirmay Biswas |
Journal | Journal of cataract and refractive surgery
(J Cataract Refract Surg)
Vol. 30
Issue 10
Pg. 2072-6
(Oct 2004)
ISSN: 0886-3350 [Print] United States |
PMID | 15474816
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Acrylic Resins
- Coated Materials, Biocompatible
- Polymethyl Methacrylate
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Topics |
- Acrylic Resins
- Adolescent
- Adult
- Aged
- Child
- Coated Materials, Biocompatible
- Female
- Humans
- Lens Implantation, Intraocular
(methods)
- Lenses, Intraocular
- Male
- Middle Aged
- Pars Planitis
(surgery)
- Phacoemulsification
(methods)
- Polymethyl Methacrylate
- Postoperative Complications
- Retrospective Studies
- Safety
- Visual Acuity
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