23-Gauge transconjunctival sutureless vitrectomy for retained lens fragments after complicated cataract surgery.

Abstract

PURPOSE:

The purpose of this study was to evaluate the effectiveness and safety of 23-gauge (23-G) transconjunctival sutureless vitrectomy in patients with retained lens fragments after complicated cataract surgery.

METHODS:

In this retrospective consecutive case series, 17 eyes of 17 patients with retained lens fragments after complicated cataract surgery and managed by using 23-G transconjunctival sutureless vitrectomy were evaluated between January 2007 and March 2009 at our institution.

RESULTS:

Mean follow-up time was 8.5 ± 3.00 months. Nine patients (53%) were pseudophakic, and 8 (47%) were aphakic. A foldable acrylic intraocular lens was implanted in eight eyes with aphakia. In 2 eyes (11.8%), one of 23-G sclerotomy port was enlarged and intravitreal phacoemulsification was performed with 20-gauge phacofragmatome to remove hard nucleus. Visual acuity improved in 100% of eyes and was 20/40 or better in 70.6% of eyes. Postoperative complications were transient elevation of intraocular pressure (29.4%), decentralization of the intraocular lens (5.9%), fibrin reaction (5.9%), mild vitreous hemorrhage (5.9%), and macular retinal pigment epithelial changes (5.9%).

CONCLUSION:

Twenty-three-gauge transconjunctival sutureless vitrectomy was observed to be effective and safe in patients with retained lens fragments after complicated cataract surgery. In cases with hard nucleus, 23-G vitrectomy probe may not be adequate to remove the lens fragments.

• Authors: Fatih Horozoglu, Ates Yanyali, Aydin Macin, Ahmet F Nohutcu, Kadircan H Keskinbora
• Journal: Retina (Philadelphia, Pa.) (Retina) Vol. 32 Issue 3 Pg. 493-8 (Mar 2012) ISSN: 1539-2864 [Electronic] United States
• PMID: 21975952 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Cataract Extraction (methods)
• Female
• Follow-Up Studies
• Humans
• Intraocular Pressure
• Lens, Crystalline
• Male
• Middle Aged
• Postoperative Complications
• Retrospective Studies
• Suture Techniques
• Visual Acuity (physiology)
• Vitrectomy (adverse effects, methods)