Vitreoretinal Management of Traumatic Dislocation of the Crystalline Lens

Marcus, Dennis M.; Topping, Trexler M.; Frederick, Albert R.

doi:10.1097/00004397-199503510-00015

Cited by 28 publications

(23 citation statements)

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“…8 As lens injury is more common in the younger age group, these cases pose a surgical challenge for the ophthalmic surgeon.…”

Section: Q 2005 Ascrs and Escrsmentioning

confidence: 99%

Management of traumatic posterior capsular rupture: Corneal approach with high speed vitrector

Groenewald²,

Wong³

2005

Journal of Cataract and Refractive Surgery

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A 15-year-old boy was referred for reduced left-eye vision 2 weeks after a blunt trauma. The presenting visual acuities were 6/12 in the right eye and counting fingers in the left eye. Examination revealed a white cataract in the left eye with loss of convexity of the anterior lens surface. Ultrasonography confirmed a ruptured posterior capsule. Removal of the lens was approached via a clear corneal cataract incision. After insertion of an anterior chamber maintainer and capsulorhexis was performed, the lens matter was removed with vitreous cutter via the cataract incision, using its cutting and aspirating modes. A foldable intraocular lens (IOL) was inserted in the capsular bag. Visual acuity improved to 6/18 1 month after surgery and further improved to 6/6 at 6 months. The IOL was stable with no decentration or posterior capsule opacification.

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“…8 As lens injury is more common in the younger age group, these cases pose a surgical challenge for the ophthalmic surgeon.…”

Section: Q 2005 Ascrs and Escrsmentioning

confidence: 99%

Management of traumatic posterior capsular rupture: Corneal approach with high speed vitrector

Groenewald²,

Wong³

2005

Journal of Cataract and Refractive Surgery

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“…Assim, quando não é possível alcançar boa visão com correções refracionais cuidadosas e repetidas, quando o desempenho das atividades diárias é afetado, ou quando surgem sinais iminentes de complicações, a indicação cirúrgica deverá ser considerada (15)(16)(17)(18)(19)(20)(21)(22)(23)(24) . Didaticamente, as técnicas operatórias disponíveis hoje para a correção da ectopia lentis incluem: 1) a extração intracapsular; 2) a extração extracapsular; 3) a lensectomia com vitreófago; 4) a discissão-aspiração; e 5) a facoemulsificação.…”

Section: Variação Da Acuidade Visual Em Pacientes Jovens Com Ectopia unclassified

Variação da acuidade visual em pacientes jovens com ectopia lentis submetidos à cirurgia

Waiswol¹,

Abujamra²,

Cohen³

et al. 2005

Arq. Bras. Oftalmol.

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“…In post-traumatic eyes with lens subluxation or its dislocation to the vitreous body chamber, a remedial surgery should be performed with the method of phacoemulsification, extracapsular or intracapsular extraction of the lens, as well as lensectomy during pars plana vitrectomy [4]. Choice of the surgical approach depends both on the local condition of the eye, and surgeons expertize or preference.…”

Section: Introductionmentioning

confidence: 99%

“…Depending on the hardness of the lens, a vitrectome or a phaco fragmatome is used. The latter is dedicated to harder lens, which require the use of ultrasounds [3,4].…”

Section: Introductionmentioning

confidence: 99%

Pars plana vitrectomy with transscleral fixation of posterior chamber lens in the treatment of post-traumatic lens dislocation

et al. 2018

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Purpose To present our experience with post-traumatic lens dislocation management by vitrectomy followed with sutureless artificial lens fixation. Methods The retrospective study involved 15 patients (12 men and 3 women) aged from 36 to 78 (on average, 63 years old), from the Vitreoretinal Surgery Teaching Hospital, operated in the years 2013-2015. All cases concerned ocular traumas with dislocation of the natural or artificial lens to the anterior chamber, vitreous body chamber, or posttraumatic aphakia. After vitrectomy, patients had the implant fixated with a technique devised by Scharioth-sutureless fixation of posterior chamber implants in the groove area, with haptics placed in scleral tunnels parallel to the corneal limbus. Preoperative and postoperative condition of the eye was assessed.Results The average period of observation was 29 weeks. Average pre-surgery refraction was ? 10.75, while post-surgery ? 1.25. Average bestcorrected visual acuity in Snellen charts before surgery was 0.3 and at the end of the observation period 0.5. The improvement in visual acuity after surgery in relation to visual acuity before surgery was statistically significant (P = 0.005). In the first 2 weeks after surgery, minor hypotonia was observed in three of the patients, while in two-moderate bleeding to the vitreous body and the anterior chamber, which subsided without surgical intervention. A slight decentration of the implant observed in two cases did not affect later refraction or BCVA. Conclusion Basing on the abovementioned facts, we believe that this surgical approach facilitates the fixation of the dislocated lens and allows a successful treatment of secondary implantation or repositioning of a dislocated intraocular lens.

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Vitreoretinal Management of Traumatic Dislocation of the Crystalline Lens

Cited by 28 publications

References 0 publications

Management of traumatic posterior capsular rupture: Corneal approach with high speed vitrector

Management of traumatic posterior capsular rupture: Corneal approach with high speed vitrector

Variação da acuidade visual em pacientes jovens com ectopia lentis submetidos à cirurgia

Pars plana vitrectomy with transscleral fixation of posterior chamber lens in the treatment of post-traumatic lens dislocation

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