Kwok Alvin K H, Li Kenneth K W, Lai Timothy Y Y, Lam Dennis S C
Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Kowloon, Hong Kong.
Clin Exp Ophthalmol. 2002 Dec;30(6):399-403. doi: 10.1046/j.1442-9071.2002.00568.x.
To assess the outcome of patients who underwent pars plana vitrectomy for retained lens fragments after cataract surgery.
A retrospective study of all consecutive cases with pars plana vitrectomy performed for retained lens fragment was conducted. Twenty-seven eyes of 27 patients were included in the study.
Twenty-four (89.9%) eyes received phacoemulsification. Pars plana vitrectomy was performed at the same sitting, or ranged from day 1-70 after cataract surgery. The mean follow up was 31.1 months. Final visual acuity of 6/12 or better was achieved in 15 (55.6%) patients. After excluding patients with pre-existing eye diseases, 68.4% of patients had visual acuity 6/12 or better. Complications after pars plana vitrectomy included glaucoma (22.2%), retinal detachment (11.1%) and surgically induced necrotizing scleritis (3.7%).
Ocular complications with poor visual outcome can occur after removal of intravitreal retained lens fragments complicating cataract surgery.
评估白内障手术后因晶状体碎片残留而接受玻璃体切割术的患者的治疗效果。
对所有因晶状体碎片残留而连续接受玻璃体切割术的病例进行回顾性研究。纳入研究的有27例患者的27只眼。
24只眼（89.9%）接受了超声乳化术。玻璃体切割术与白内障手术在同一次手术中进行，或在白内障手术后1至70天内进行。平均随访时间为31.1个月。15例患者（55.6%）最终视力达到6/12或更好。排除术前已有眼部疾病的患者后，68.4%的患者视力达到6/12或更好。玻璃体切割术后的并发症包括青光眼（22.2%）、视网膜脱离（11.1%）和手术诱发的坏死性巩膜炎（3.7%）。
白内障手术并发玻璃体内晶状体碎片残留，取出后可能会出现眼部并发症且视力预后较差。
