Abstract
Posterior nuclear dislocation is a serious complication of cataract surgery, especially when using the phacoemulsification technique. So far, there have been only a few reports concerning the indications and timing of vitrectomy with nuclear removal as well as long-term visual outcome of these eyes. We analysed 23 consecutive patients (follow-up at least 3 months) with intravitreal nuclear remnants after cataract surgery treated with vitrectomy and removal of posteriorly dislocated nuclei. All the eyes had increased intraocular pressure pre-vitrectomy, 63% had corneal oedema, 67% marked uveitis and 26% either retinal tear or detachment. Vitrectomy was performed within 1 week in 70% of eyes. In 14 eyes (61%) the final visual acuity was 20/40 or more. The main reason for poor visual outcome was retinal detachment (9%). These results indicate that with vitrectomy and removal of the nucleus good visual results can be achieved in a large proportion of eyes with posterior dislocation of nuclear remnants.
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Hutton WL, Snyder WB, Vaiser A . Management of surgically dislocated intravitreal lens fragments by pars plana vitrectomy. Ophthalmology 1978;85:176–89.
Fastenberg DM, Schwartz PL, Shakin JL, et al. Management of dislocated nuclear fragments after phacoemulsification. Am J Ophthalmol 1991;112:535–9.
Blodi BA, Flynn HW, Blodi CF, et al. Retained nuclei after cataract surgery. Ophthalmology 1992;99:41–4.
Lambrou FH, Stewart MW . Management of dislocated lens fragments during phacoemulsification. Ophthalmology 1992;99:1260–2.
Gilliland GD, Hutton WL, Fuller DG . Retained intravitreal lens fragments after cataract surgery. Ophthalmology 1992;99:1263–9.
Ross WH . Management of dislocated lens fragments following phacoemulsification surgery. Can J Ophthalmol 1993;28:163–6.
Kim JE, Flynn HW Jr, Smiddy WE, et al. Retained lens fragments after phacoemulsification. Ophthalmology 1994;101:1827–32.
Cowley M, Conway BP, Campochiaro, PA, et al. Clinical risk factors for proliferative vitreoretinopathy. Arch Ophthalmol 1989;107:1147–51.
Isernhagen RD, Smiddy WE, Michels RG, et al. Vitrectomy for nondiabetic vitreous hemorrhage: not associated with vascular disease. Retina 1988;8:81–7.
Smiddy WE, Isernhagen RD Michels RG, et al. Vitrectomy for nondiabetic vitreous hemorrhage: retinal and choroidal vascular disorders. Retina 1988;8:88–95.
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Tommila, P., Immonen, I. Dislocated nuclear fragments after cataract surgery. Eye 9, 437–441 (1995). https://doi.org/10.1038/eye.1995.102
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DOI: https://doi.org/10.1038/eye.1995.102