Visual Outcomes of Traumatic Lens Dislocations and Subluxations Managed by Pars Plana Vitrectomy and Lensectomy
Aim: The aim of this study was to evaluate the visual outcome of lens dislocation and subluxation managed by pars plana vitrectomy (PPV) and lensectomy in patients with open (OGIs) or closed globe injuries (CGIs). Methods: Medical records of 70 consecutive patients treated by PPV and lensectomy over...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-11-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/22/6981 |
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| author | Mădălina-Claudia Hapca George-Adrian Muntean Iulia-Andrada Nemeș-Drăgan Ștefan Cristian Vesa Simona-Delia Nicoară |
| author_facet | Mădălina-Claudia Hapca George-Adrian Muntean Iulia-Andrada Nemeș-Drăgan Ștefan Cristian Vesa Simona-Delia Nicoară |
| author_sort | Mădălina-Claudia Hapca |
| collection | DOAJ |
| description | Aim: The aim of this study was to evaluate the visual outcome of lens dislocation and subluxation managed by pars plana vitrectomy (PPV) and lensectomy in patients with open (OGIs) or closed globe injuries (CGIs). Methods: Medical records of 70 consecutive patients treated by PPV and lensectomy over a period of 11 years (1 January 2010–31 December 2020) were retrospectively reviewed. We collected demographic data, best corrected visual acuity (BCVA) using a Snellen Chart pre- and postoperatively, associated ocular injuries and treatment strategy. Visual outcome was evaluated according to the final BCVA which was defined as poor <0.1 or good ≥0.1. Results: The mean age was 57.9 ± 17.6 years. CGIs were present in 49 (70.0%) cases and open OGIs in 21 (30.0%) cases. The dislocation mechanism was zonular lysis in 59 cases (84.3%) and capsular rupture in 11 cases (15.7%). The intraocular lens implant (IOL) was sutured to the sclera in 51 (72.9%) cases or positioned in the capsular bag or in the sulcus in 3 (4.3%) cases and 1 (1.4%) case, respectively, whereas 15 (21.4%) patients remained aphakic. A good BCVA ≥ 0.1 was achieved in 45.71% of the eyes. The presence of retinal detachment (RD) (<i>p</i> = 0.014), iridodonesis (<i>p</i> = 0.011) and initial BCVA (<i>p</i> = 0.000) achieved statistical significance in predicting visual outcome. After treatment, 45.71% of patients achieved a final BCVA ≥ 0.1. Conclusion: RD, iridodonesis and initial BCVA were risk factors for poor visual outcome in our series. |
| first_indexed | 2024-03-09T16:43:44Z |
| format | Article |
| id | doaj.art-29ce6edf712e43c5b21cbe6aa83a12c9 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T16:43:44Z |
| publishDate | 2023-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-29ce6edf712e43c5b21cbe6aa83a12c92023-11-24T14:49:01ZengMDPI AGJournal of Clinical Medicine2077-03832023-11-011222698110.3390/jcm12226981Visual Outcomes of Traumatic Lens Dislocations and Subluxations Managed by Pars Plana Vitrectomy and LensectomyMădălina-Claudia Hapca0George-Adrian Muntean1Iulia-Andrada Nemeș-Drăgan2Ștefan Cristian Vesa3Simona-Delia Nicoară4Doctoral School of Medicine, Iuliu Hațieganu University of Medicine and Pharmacy, V. Babeș Str. 8, 400012 Cluj-Napoca, RomaniaDoctoral School of Medicine, Iuliu Hațieganu University of Medicine and Pharmacy, V. Babeș Str. 8, 400012 Cluj-Napoca, RomaniaOphthalmology Clinic, Emergency County Hospital, 3–5 Clinicilor Str., 400006 Cluj-Napoca, RomaniaDepartment of Pharmacology, Toxicology and Clinical Pharmacology, Iuliu Hațieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaDoctoral School of Medicine, Iuliu Hațieganu University of Medicine and Pharmacy, V. Babeș Str. 8, 400012 Cluj-Napoca, RomaniaAim: The aim of this study was to evaluate the visual outcome of lens dislocation and subluxation managed by pars plana vitrectomy (PPV) and lensectomy in patients with open (OGIs) or closed globe injuries (CGIs). Methods: Medical records of 70 consecutive patients treated by PPV and lensectomy over a period of 11 years (1 January 2010–31 December 2020) were retrospectively reviewed. We collected demographic data, best corrected visual acuity (BCVA) using a Snellen Chart pre- and postoperatively, associated ocular injuries and treatment strategy. Visual outcome was evaluated according to the final BCVA which was defined as poor <0.1 or good ≥0.1. Results: The mean age was 57.9 ± 17.6 years. CGIs were present in 49 (70.0%) cases and open OGIs in 21 (30.0%) cases. The dislocation mechanism was zonular lysis in 59 cases (84.3%) and capsular rupture in 11 cases (15.7%). The intraocular lens implant (IOL) was sutured to the sclera in 51 (72.9%) cases or positioned in the capsular bag or in the sulcus in 3 (4.3%) cases and 1 (1.4%) case, respectively, whereas 15 (21.4%) patients remained aphakic. A good BCVA ≥ 0.1 was achieved in 45.71% of the eyes. The presence of retinal detachment (RD) (<i>p</i> = 0.014), iridodonesis (<i>p</i> = 0.011) and initial BCVA (<i>p</i> = 0.000) achieved statistical significance in predicting visual outcome. After treatment, 45.71% of patients achieved a final BCVA ≥ 0.1. Conclusion: RD, iridodonesis and initial BCVA were risk factors for poor visual outcome in our series.https://www.mdpi.com/2077-0383/12/22/6981lens dislocationsubluxationpars plana vitrectomypars plana lensectomyeye trauma |
| spellingShingle | Mădălina-Claudia Hapca George-Adrian Muntean Iulia-Andrada Nemeș-Drăgan Ștefan Cristian Vesa Simona-Delia Nicoară Visual Outcomes of Traumatic Lens Dislocations and Subluxations Managed by Pars Plana Vitrectomy and Lensectomy Journal of Clinical Medicine lens dislocation subluxation pars plana vitrectomy pars plana lensectomy eye trauma |
| title | Visual Outcomes of Traumatic Lens Dislocations and Subluxations Managed by Pars Plana Vitrectomy and Lensectomy |
| title_full | Visual Outcomes of Traumatic Lens Dislocations and Subluxations Managed by Pars Plana Vitrectomy and Lensectomy |
| title_fullStr | Visual Outcomes of Traumatic Lens Dislocations and Subluxations Managed by Pars Plana Vitrectomy and Lensectomy |
| title_full_unstemmed | Visual Outcomes of Traumatic Lens Dislocations and Subluxations Managed by Pars Plana Vitrectomy and Lensectomy |
| title_short | Visual Outcomes of Traumatic Lens Dislocations and Subluxations Managed by Pars Plana Vitrectomy and Lensectomy |
| title_sort | visual outcomes of traumatic lens dislocations and subluxations managed by pars plana vitrectomy and lensectomy |
| topic | lens dislocation subluxation pars plana vitrectomy pars plana lensectomy eye trauma |
| url | https://www.mdpi.com/2077-0383/12/22/6981 |
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