Combined lensectomy, vitrectomy and scleral fixation of intraocular lens implant after closed-globe injury

Nauman A. Chaudhry, Armando Belfort, Harry W. Flynn, Homayoun Tabandeh, William E. Smiddy, Timothy G. Murray

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

PURPOSE: To describe our experience in the surgical management of cataracts in patients with complications of closed-globe injury using pars plana lensectomy (PPL), pars plana vitrectomy (PPV), and scleral fixation of posterior chamber intraocular lens (PCIOL). METHODS: We retrospectively reviewed charts of all patients with closed-globe injury who underwent PPL, PPV and scleral fixation of PCIOL at our institution between January 1991 and July 1997. We identified 28 eyes; because of less than 2 weeks follow-up, 4 eyes were excluded from the current study. All eyes had lens subluxation/dislocation and visually significant cataract. Additional indications for surgery included secondary glaucoma (10 eyes), vitreous hemorrhage (3 eyes) and retinal detachment (1 eye). RESULTS: The postoperative follow-up interval ranged from 6 to 61 months (mean 18.5 months). Preoperative visual acuity (VA) ranged from 20/60 to hand motion and was 20/100 or better in 6 eyes (25%). Postoperatively, 19 eyes (79%) improved to 20/100 or better. Five eyes had subsequent surgery for the following indications: retinal detachment (2 eyes), poorly controlled glaucoma (2 eyes), and epiretinal membrane formation (1 eye). CONCLUSIONS: In patients undergoing PPL, PPV and scleral fixation of PCIOL for cataract after a dosed- globe injury, a substantial visual improvement occurred in a majority of the involved eyes.

Original languageEnglish (US)
Pages (from-to)375-381
Number of pages7
JournalOphthalmic Surgery and Lasers
Volume30
Issue number5
StatePublished - May 1 1999

ASJC Scopus subject areas

  • Ophthalmology

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