Complications of Phacoemulsification

Emery, Jared M.; Wilhelmus, Kirk A.; Rosenberg, Stanley

doi:10.1016/s0161-6420(78)35682-7

Cited by 85 publications

(23 citation statements)

References 4 publications

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“…Antecedent studies found there was no statistical difference in visual acuity between early vitrectomy (within the 1st week) and at a later time [1, 10]. However, another series reported delayed vitrectomy (range 9–50 days) after control of inflammation with medication and glaucoma was associated with better final visual acuity [2]. Our current series revealed that there was no statistically significant difference in final visual acuity between early and late vitrectomy groups.…”

Section: Discussionmentioning

confidence: 45%

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Management of Retained Intravitreal Lens Fragments after Phacoemulsification Surgery

et al. 2002

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Purpose: To evaluate the clinical features of eyes with retained intravitreal lens fragments after phacoemulsification surgery and to assess the guidelines of management and the visual outcome after vitrectomy. Methods: Twenty-five consecutive patients referred to our institute for retained intravitreal lens fragments after phacoemulsification cataract surgery were evaluated retrospectively over a 7-year period. Results: The clinical features of retained lens fragments included deceased visual acuity of 6/60 or worse (68%), uveitis (60%), glaucoma (48%), corneal edema (44%) and retinal detachment in 2 patients (8%). There were 24 patients who underwent pars plana vitrectomy; 1 patient was managed with medical therapy. After vitrectomy, 17 eyes (71%) showed visual improvement, and final visual acuity was 6/12 or better in 13 eyes (54%). The causes of poor final visual outcome of 6/60 or worse included retinal detachment and cystoid macular edema. The time interval between vitrectomy and phacoemulsification was within 4 weeks in 17 patients (71%), ranging from on the same day to 97 days. There was only a trend of better visual outcome in early vitrectomy patients (within 1 week). There was no statistical difference between the initial intraocular lens status and final visual acuity. Conclusion: Vitectomy with removal of retained intravitreal lens fragments is beneficial for patients with persistent uveitis and glaucoma after phacoemulsification. In the majority of patients, visual improvement was achieved after vitrectomy. However, poor visual outcome may occur secondary to retinal detachment and cystoid macular edema.

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Section: Discussionmentioning

confidence: 45%

“…However, the incidence of its complications increased during the learning period [1, 2, 3]. Retained intravitreal lens fragments after phacoemulsification are a potentially devastating complication, which is actually increasing compared to the traditional cataract operation by extracapsular cataract extraction.…”

Section: Introductionmentioning

confidence: 99%

Management of Retained Intravitreal Lens Fragments after Phacoemulsification Surgery

et al. 2002

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“…However, there is a 0.2−1.1% risk of dislocation of the crystalline lens into the vitreous cavity; this is one of the most serious complications of the surgery 1,2 . It has also been shown that the steep learning curve during the transition from extracapsular technique to phacoemulsification might be associated with a higher incidence of complications 3 …”

Section: Introductionmentioning

confidence: 99%

Pars plana vitrectomy in the management of retained intravitreal lens fragments after cataract surgery

Kwok

Lai

et al. 2002

Clinical Exper Ophthalmology

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“…With the increasing popularity of phacoemulsification as a method of choice for cataract surgery, the incidence of complications such as inadvertent posterior capsule tear, nuclear fragments, and intraocular lens (IOL) loss into the vitreous cavity has increased greatly (1)(2)(3)(4)(5)(6) . These complications are directly related to the surgeon's expertise and tend to increase in specific cases that represent major challenges.…”

Section: Introductionmentioning

confidence: 99%

Results of pars plana vitrectomy after complicated phacoemulsification surgery

Grandinetti¹,

Suenaga²,

Oliveira³

et al. 2015

Arquivos Brasileiros De Oftalmologia

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Approved by the following research ethics committee: Positivo University (CAAE 27185914. 6.0000.0093). ABSTRACTPurpose: To identify the causes and outcomes of pars plana vitrectomy (PPV) in patients undergoing phacoemulsification with intraoperative complication and to analyze whether the interval between phacoemulsification and PPV interferes with best-corrected final visual acuity. Methods: This descriptive and retrospective analytical study was conducted in Paraná Eye Hospital in 2013. Data were collected from medical records of 38 patients who underwent complicated phacoemulsification and also required PPV. Results: The most frequent complication as a result of phacoemulsification was posterior capsule rupture, observed in 35 patients (92.10%), followed by capsular bag detachment, in three patients (7.89%). Twenty-eight patients (73.68%) had cortical fragments that were removed during PPV. Twelve patients (31.57%) had their intraocular lens repositioned. PPV was performed on the same day of phacoemulsification in one patient (2.63%), within 1 week in 15 patients (39.47%), between 1 week and 1 month in 13 patients (34.21%), and 1 month after phacoemulsification in 9 patients (23.68%). Conclusion:This study is in agreement with worldwide literature, asserting that major complications of phacoemulsification are posterior capsule rupture and capsular bag detachment, and in addition, there is an improvement in the final visual acuity in almost half the cases, even when there are complications during modern cataract surgery, when complementary appropriate treatment is provided.

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Complications of Phacoemulsification

Cited by 85 publications

References 4 publications

Management of Retained Intravitreal Lens Fragments after Phacoemulsification Surgery

Management of Retained Intravitreal Lens Fragments after Phacoemulsification Surgery

Pars plana vitrectomy in the management of retained intravitreal lens fragments after cataract surgery

Results of pars plana vitrectomy after complicated phacoemulsification surgery

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