A retrospective study of 62 cases of planned extracapsular cataract extraction with intraocular lens implantation complicated by vitreous loss revealed a visual outcome of 20/20 to 20/40 in 34 eyes (54.8%), 20/50 to 20/80 in 16 eyes (25.8%), 20/100 to 20/400 in six eyes (9.7%), and worse than 20/400 in six eyes (9.7%). If preexisting ocular diseases such as glaucoma and macular degeneration are eliminated, 77.3% achieved a visual acuity of 20/40 or better.
We describe a new management of posterior dislocation of an intraocular lens implant into the vitreous by means of focal retinal photocoagulation and implantation of a secondary anterior chamber lens to correct subsequent aphakia.
Cystoid macular edema is a recognized complication of cataract extraction and intraocular lens implantation with an incidence of 5.2% to 50.0%. We have recently performed lens implant exchange in an eye with cystoid macular edema which suffered recurrent hyphema (UGH syndrome). In addition to resolution of the patient's recurrent hyphema, we observed the resolution of cystoid macular edema in this eye.
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