Pars Plana Vitrectomy and Intravitreal Phacoemulsification for Dropped Nuclei
Purpose: To report the outcomes of pars plana vitrectomy (PPV) and intravitreal phacoemulsification in patients with dropped nuclei/nuclear fragments following complicated cataract surgery. Methods: In this retrospective case series, charts of patients who had undergone PPV and intravitreal phacoem...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Knowledge E
2012-01-01
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| Series: | Journal of Ophthalmic & Vision Research |
| Subjects: | |
| Online Access: | http://www.jovr.org/article.asp?issn=2008-322X;year=2012;volume=7;issue=2;spage=125;epage=129;aulast=Falavarjani |
| _version_ | 1797991402171269120 |
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| author | Khalil Ghasemi Falavarjani Masih Hashemi Ali Jalili Fazel Mehdi Modarres Hossein Nazari Mohammad-Mehdi Parvaresh |
| author_facet | Khalil Ghasemi Falavarjani Masih Hashemi Ali Jalili Fazel Mehdi Modarres Hossein Nazari Mohammad-Mehdi Parvaresh |
| author_sort | Khalil Ghasemi Falavarjani |
| collection | DOAJ |
| description | Purpose: To report the outcomes of pars plana vitrectomy (PPV) and intravitreal phacoemulsification in patients with dropped nuclei/nuclear fragments following complicated cataract surgery.
Methods: In this retrospective case series, charts of patients who had undergone PPV and intravitreal phacoemulsification for removal of dislocated nuclei/lens fragments were reviewed. After standard PPV, a conventional phacoemulsification probe with an amputated sleeve was used for grasping and emulsifying the nucleus/nuclear fragments in mid/anterior vitreous cavity. Pre- and postoperative visual acuity, and intra- and postoperative complications were recorded.
Results: A total of 22 patients with mean age of 71.18.2 years were studied. Mean interval between complicated cataract surgery and PPV was 26.636.5 (range: 0-120) days. Patients were followed for a mean of 105.557.5 days. Preoperatively, best corrected visual acuity was 2.40.6 logMAR which was improved to 1.40.6 logMAR at final follow-up (P<0.001). Intraoperative complications included iatrogenic peripheral retinal breaks in three eyes. Postoperative complications consisted of epiretinal membrane formation in one eye, hypotony in one eye, and medically-controlled glaucoma in 2 eyes.
Conclusion: In this series, PPV and intravitreal phacoemulsification using a conventional phacoemulsification probe in patients with dropped nuclei/nuclear fragments following complicated cataract surgery resulted in visual improvement without any complications directly attributable to the probe. |
| first_indexed | 2024-04-11T08:51:41Z |
| format | Article |
| id | doaj.art-32b18fd37c4049199b6f85d3ec804c57 |
| institution | Directory Open Access Journal |
| issn | 2008-322X |
| language | English |
| last_indexed | 2024-04-11T08:51:41Z |
| publishDate | 2012-01-01 |
| publisher | Knowledge E |
| record_format | Article |
| series | Journal of Ophthalmic & Vision Research |
| spelling | doaj.art-32b18fd37c4049199b6f85d3ec804c572022-12-22T04:33:33ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2012-01-0172125129Pars Plana Vitrectomy and Intravitreal Phacoemulsification for Dropped NucleiKhalil Ghasemi FalavarjaniMasih HashemiAli Jalili FazelMehdi ModarresHossein NazariMohammad-Mehdi ParvareshPurpose: To report the outcomes of pars plana vitrectomy (PPV) and intravitreal phacoemulsification in patients with dropped nuclei/nuclear fragments following complicated cataract surgery. Methods: In this retrospective case series, charts of patients who had undergone PPV and intravitreal phacoemulsification for removal of dislocated nuclei/lens fragments were reviewed. After standard PPV, a conventional phacoemulsification probe with an amputated sleeve was used for grasping and emulsifying the nucleus/nuclear fragments in mid/anterior vitreous cavity. Pre- and postoperative visual acuity, and intra- and postoperative complications were recorded. Results: A total of 22 patients with mean age of 71.18.2 years were studied. Mean interval between complicated cataract surgery and PPV was 26.636.5 (range: 0-120) days. Patients were followed for a mean of 105.557.5 days. Preoperatively, best corrected visual acuity was 2.40.6 logMAR which was improved to 1.40.6 logMAR at final follow-up (P<0.001). Intraoperative complications included iatrogenic peripheral retinal breaks in three eyes. Postoperative complications consisted of epiretinal membrane formation in one eye, hypotony in one eye, and medically-controlled glaucoma in 2 eyes. Conclusion: In this series, PPV and intravitreal phacoemulsification using a conventional phacoemulsification probe in patients with dropped nuclei/nuclear fragments following complicated cataract surgery resulted in visual improvement without any complications directly attributable to the probe.http://www.jovr.org/article.asp?issn=2008-322X;year=2012;volume=7;issue=2;spage=125;epage=129;aulast=FalavarjaniDislocated Nucleus; Intravitreal Phacoemulsification; Pars Plana Vitrectomy |
| spellingShingle | Khalil Ghasemi Falavarjani Masih Hashemi Ali Jalili Fazel Mehdi Modarres Hossein Nazari Mohammad-Mehdi Parvaresh Pars Plana Vitrectomy and Intravitreal Phacoemulsification for Dropped Nuclei Journal of Ophthalmic & Vision Research Dislocated Nucleus; Intravitreal Phacoemulsification; Pars Plana Vitrectomy |
| title | Pars Plana Vitrectomy and Intravitreal Phacoemulsification for Dropped Nuclei |
| title_full | Pars Plana Vitrectomy and Intravitreal Phacoemulsification for Dropped Nuclei |
| title_fullStr | Pars Plana Vitrectomy and Intravitreal Phacoemulsification for Dropped Nuclei |
| title_full_unstemmed | Pars Plana Vitrectomy and Intravitreal Phacoemulsification for Dropped Nuclei |
| title_short | Pars Plana Vitrectomy and Intravitreal Phacoemulsification for Dropped Nuclei |
| title_sort | pars plana vitrectomy and intravitreal phacoemulsification for dropped nuclei |
| topic | Dislocated Nucleus; Intravitreal Phacoemulsification; Pars Plana Vitrectomy |
| url | http://www.jovr.org/article.asp?issn=2008-322X;year=2012;volume=7;issue=2;spage=125;epage=129;aulast=Falavarjani |
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