Retinal detachment in patients with retained lens fragments or dislocated posterior chamber intraocular lenses

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21 Scopus citations

Abstract

BACKGROUND AND OBJECTIVE: Retinal detachment is a complication of dislocated crystalline and intraocular lenses. The purpose of this study was to compare the frequency and management of coexisting or subsequent retinal detachment in patients with retained lens fragments or dislocated posterior chamber intraocular lenses (PC IOLs). PATIENTS AND METHODS: A retrospective, consecutive series of patients undergoing vitrectomy for dislocated PC IOLs (99 eyes) or removal of retained lens material (80 eyes) were studied. RESULTS: Eyes with retinal detachment and retained lens fragments (2 cases) or dislocated PC IOLs (2 cases), or retinal detachment following vitrectomy for removal of retained lens fragments (2 cases) or repair of dislocated IOL (1 case) were identified. The prevalence of coexisting or postoperative retinal detachment and retained lens fragments (5% total) was slightly higher than the prevalence of coexisting or postoperative retinal detachment and dislocated PC IOLs (3% total). The retina was reattached in all cases using the standard scleral buckling and vitrectomy techniques. CONCLUSION: The rate of retinal detachment associated with retained lens material is decreased compared with previous reports. This may possibly be a result of increasing attention to minimizing surgical trauma by the cataract surgeon at the time of lens fragment loss and by the vitrectomy surgeon during primary repair.

Original languageEnglish (US)
Pages (from-to)856-861
Number of pages6
JournalOphthalmic Surgery and Lasers
Volume27
Issue number10
StatePublished - Oct 1 1996

ASJC Scopus subject areas

  • Ophthalmology

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