Delayed visual loss after pars plana vitrectomy for retained lens fragments

• Published in: Retina (Philadelphia, Pa.) Vol. 24; no. 3; p. 363
• Main Authors: Greven, Craig M, Piccione, Kimberly
• Format: Journal Article
• Language: English
• Published: United States 01.06.2004
• Subjects: Adult; Aged; Aged, 80 and over; Female; Follow-Up Studies; Humans; Lens Subluxation - surgery; Male; Middle Aged; Postoperative Complications; Retrospective Studies; Vision Disorders - etiology; Visual Acuity; Vitrectomy - adverse effects; Vitreous Body - pathology
• ISSN: 0275-004X
• DOI: 10.1097/00006982-200406000-00005

To report visual results and postoperative complications in patients undergoing vitrectomy for retained lens fragments. Retrospective, noncomparative, interventional case series of 42 consecutive patients undergoing vitrectomy for retained lens fragments by a single surgeon, all with a minimum of 6 months' follow-up. The main outcome measurement was best corrected visual acuity at 3 months and at final follow-up visit. Although 67% of eyes achieved a postoperative visual acuity of 20/40 or better at 3 months, 17% had events during follow-up that resulted in loss of vision to less than 20/40. Final best corrected visual acuity 20/40 or better was achieved in 50% of eyes. Retinal detachment occurred in 17%, and 21% of eyes required long-term therapy for glaucoma. Patients undergoing vitrectomy for retained lens fragments often develop delayed visual loss. Long-term surveillance is necessary in these patients.