Visual outcome of cataract extraction and lens implantation complicated by vitreous loss

Balent, Alvan; Civerchia, Linda L.; Mohamadi, Parivash

doi:10.1016/s0886-3350(88)80089-0

Cited by 35 publications

(15 citation statements)

References 3 publications

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“…The visual acuity results in this study are similar to those of Balent et al 5 and Siepser and Kline? but in these studies there was no statistical comparison between vitreous loss cases and controls.…”

Section: Discussionsupporting

confidence: 91%

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Vitreous loss in planned extracapsular cataract extraction does lead to a poorer visual outcome

Frost

Sparrow

Strong

et al. 1995

Eye

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SUMMARYForty-six cases of vitreous loss during planned extra capsular cataract extraction salvaged by anterior vitrectomy and primary anterior chamber lens implan tation were compared in a retrospective cohort study with 92 individually matched controls. The post operative visual outcome for cases with vitreous loss was significantly poorer than that for controls even after adjustment for confounding variables. Part of this visual morbidity was explained by cystoid macular oedema and retinal detachment, but even after adjusting for these two complications visual outcome remained worse among cases than controls. There was a significantly higher incidence of clinically apparent cystoid macular oedema amongst cases compared with controls (20% versus 1 %). Two retinal detachments occurred among the cases but this difference in incidence was not statistically significant. SUBJECTS AND METHODSA retrospective cohort study was undertaken to investigate the visual outcome of cases in which planned extracapsular cataract extraction (ECCE) was complicated by vitreous loss during the period excluded. An exception to the above exclusion rule was applied to age-related macular degeneration (AMD). This was deemed necessary in view of the Eye (1995) 9, 446-451

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Section: Discussionsupporting

confidence: 91%

“…Balent et al 5 found that lens type did not appear to influence final visual acuity. They also could see no clear association between any cause of visual loss and a specific lens type.…”

Section: Discussionmentioning

confidence: 95%

Vitreous loss in planned extracapsular cataract extraction does lead to a poorer visual outcome

Frost

Sparrow

Strong

et al. 1995

Eye

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“…Vitreous loss increases the prevalence of CME by 10–20% [7,25,26]. Different studies have confirmed that the rate of clinical CME associated with vitreous loss is higher compared to cases without this complication after either extracapsular cataract extraction or phacoemulsification [25,27,28,29]. The lower rate of CME occurring when there is vitreous loss during phacoemulsification has also been explained by the small wound construction and greater stability in this type of surgery compared with large-incision cataract surgery [17,30,31,32].…”

Section: Etiology and Risk Factorsmentioning

confidence: 99%

Pseudophakic Cystoid Macular Edema

Lobo¹

2011

Ophthalmologica

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Cataract surgery is an efficient procedure, and is generally associated with good visual results. Nevertheless, cystoid macular edema (CME) may develop, and this can result in suboptimal postoperative vision. Many factors are considered to contribute to its development, and although the treatment options depend upon the underlying cause of CME, the usual therapeutic approach for prophylaxis and treatment of CME is directed towards blocking the inflammatory mediators. This article provides a review of possible risk factors, pathogeneses, incidence rates, and methods of diagnosis, as well as the current guidelines for managing CME.

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“…After uneventful extracapsular cataract surgery, CME occurs in 0.1–2.35% of all cases (Irvine-Gass syndrome) [35]. However, after opening the vitreolenticular interface, this incidence significantly rises up to 21% in cases of complicated cataract surgery with vitreous loss [36,37]. These studies were published in the 1990s, and since then the surgical technique has improved; thus, it is believed that the incidence of CME might be reduced nowadays.…”

Section: Cystoid Macular Edemamentioning

confidence: 99%

Retinal Complications after Damaging the Vitreolenticular Barrier

Framme

Wolf²

2011

Ophthalmologica

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This article gives an overview of the vitreal anatomy and its changes in ageing, which have a significant impact on the two main retinal complications after damage of the vitreolenticular barrier, namely retinal detachment and cystoid macular edema. The possible reasons and pathomechanisms for this entity of retinal diseases in the context of anterior segment interaction are highlighted, and a summary of references is provided showing the epidemiology and consequences of such interventions.

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Visual outcome of cataract extraction and lens implantation complicated by vitreous loss

Cited by 35 publications

References 3 publications

Vitreous loss in planned extracapsular cataract extraction does lead to a poorer visual outcome

Vitreous loss in planned extracapsular cataract extraction does lead to a poorer visual outcome

Pseudophakic Cystoid Macular Edema

Retinal Complications after Damaging the Vitreolenticular Barrier

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