A Retrospective Study of Patients with Retained Nuclear Fragments After Cataract Extraction

Overview

Journal Acta Ophthalmol Scand

Specialty Ophthalmology

Date 2001 Feb 13

PMID 11167231

Citations 7

Authors

R B Olsson

J S Ritland

O M Bjornsson

P Syrdalen

N Eide

R Overgard

Affiliations

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Abstract

Purpose: A registration and follow-up of patients who underwent pars plana vitrectomy after dislocated nuclear fragments to the vitreous following cataract extraction.

Material And Methods: A retrospective study of 125 patients referred to The National Hospital during the years 1991 to 1998. Phacoemulsification and extracapsular technique were used in 115 eyes and 10 eyes, respectively. A pars plana vitrectomy was performed within an average of 13 days (1-99 days) after cataract extraction. Average follow-up period was 9 months (0.5-35 months).

Results: The visual acuity at follow-up was > or = 0.5 in 67 eyes (55.4%), <0.5->0.1 in 32 eyes (26.4%), and < or = 0.1 in 22 eyes (18.2%). The total number of retinal detachments was 26 (21.5%).

Conclusion: Retained nuclear fragments in the vitreous is a serious complication and most eyes achieve acceptable visual results.

Citing Articles

Prospective Cytokine Profiling in Aqueous Humor Reveals a Proinflammatory Microenvironment in Highly Dense Nuclear Cataracts.

Latz C, Licht A, Mirshahi A, Latz E, Zimmer K Invest Ophthalmol Vis Sci. 2024; 65(11):25.

PMID: 39287590 PMC: 11412381. DOI: 10.1167/iovs.65.11.25.

Risk factors affecting visual outcomes following dropped nucleus after cataract surgery.

Hu J, Ti S, Chee S Eye (Lond). 2023; 38(2):253-258.

PMID: 37542173 PMC: 10810779. DOI: 10.1038/s41433-023-02668-9.

Timing of vitrectomy for retained lens fragments after cataract surgery.

Peck T, Park J, Bajwa A, Shildkrot Y Int Ophthalmol. 2017; 38(6):2699-2707.

PMID: 28956215 DOI: 10.1007/s10792-017-0719-8.

Concurrent removal of intravitreal lens fragments after phacoemulsification with pars plana vitrectomy prevents development of retinal detachment.

Chalam K, Murthy R, Priluck J, Khetpal V, Gupta S Int J Ophthalmol. 2015; 8(1):89-93.

PMID: 25709914 PMC: 4325248. DOI: 10.3980/j.issn.2222-3959.2015.01.16.

Surgical outcomes of 23-gauge vitrectomy for the management of lens fragments dropped into the vitreous cavity during cataract surgery.

Koh K, Kim H, Cho H, Lew Y, Choi M, Han J Saudi J Ophthalmol. 2014; 28(4):253-6.

PMID: 25473339 PMC: 4250484. DOI: 10.1016/j.sjopt.2014.01.001.