Results of Pars Plana Vitrectomy and Scleral-fixated Intraocular Lens Implantation in the Same Session
Objective: To assess the outcomes of pars plana vitrectomy (PPV) and scleralfixated intraocular lens (SFIOL) implantation which posteriorly dislocated intraocular lens (IOL) and nucleus drop.Methods: Twenty four eyes of 24 patients that were implanted by PPV and SFIOL between January 2013 and Januar...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2016-06-01
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| Series: | İstanbul Medical Journal |
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| Online Access: |
http://imj.galenos.com.tr/archives/archive-detail/article-preview/results-of-pars-plana-vitrectomy-and-scleral-fixat/20858
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| _version_ | 1828026393868369920 |
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| author | Erkan Ünsal Kadir Eltutar Mustafa Suat Alıkma |
| author_facet | Erkan Ünsal Kadir Eltutar Mustafa Suat Alıkma |
| author_sort | Erkan Ünsal |
| collection | DOAJ |
| description | Objective: To assess the outcomes of pars plana vitrectomy (PPV) and scleralfixated intraocular lens (SFIOL) implantation which posteriorly dislocated intraocular lens (IOL) and nucleus drop.Methods: Twenty four eyes of 24 patients that were implanted by PPV and SFIOL between January 2013 and January 2015 were retrospectively evaluated. Pre- and postoperative findings and complications were evaluated.Results: The mean age was 65.75±13.44 (32–87). The mean follow-up time was 21.29±7.17 (9–33) months. Fourteen patients were operated by IOL dislocation and 10 by nucleus or partial nucleus drop. Six dislocated IOLs were foldable one part, 6 foldable three parts, and 2 PMMA lenses. In IOL dislocations, 7 patient’s own IOLs; in 7 patients, a new IOL is fixed to the sclera. One-sided scleral fixation was applied to 9 patients. IOL implementation was applied to 9 patients by opening the scleral flap and to 15 patients by not opening the scleral flap. When the postoperative corrected visual acuities of the patients were compared with the preoperative corrected visual acuities, the mean visual acuity increased by 0.2 or more in 12 patients (50%) with Snellen acuity card, remained the same in 8 patients (33.30%), and decreased in 4 patients (16.6%). Postoperatively, retinal detachment was noted 1 patient (4.15%), increased intraocular pressure in 2 (8.30%), suture exposure in 4 (16.66%), and cystoid macular edema in 2 (8.30%). Hypotonia, choroid detachment, and endophthalmitis were not detected.Conclusion: In nucleus drop and IOL dislocation, PPV and SFIOL implementation should be attentively performed by taking into account serious complications in patients lacking capsular support. |
| first_indexed | 2024-04-10T13:18:01Z |
| format | Article |
| id | doaj.art-635c14f173b5465e903ad4dc694be354 |
| institution | Directory Open Access Journal |
| issn | 2619-9793 2148-094X |
| language | English |
| last_indexed | 2024-04-10T13:18:01Z |
| publishDate | 2016-06-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | İstanbul Medical Journal |
| spelling | doaj.art-635c14f173b5465e903ad4dc694be3542023-02-15T16:12:11ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2016-06-01172545810.5152/imj.2016.3293213049054Results of Pars Plana Vitrectomy and Scleral-fixated Intraocular Lens Implantation in the Same SessionErkan Ünsal0Kadir Eltutar1Mustafa Suat Alıkma2 İstanbul Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İstanbul, Türkiye İstanbul Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İstanbul, Türkiye İstanbul Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İstanbul, Türkiye Objective: To assess the outcomes of pars plana vitrectomy (PPV) and scleralfixated intraocular lens (SFIOL) implantation which posteriorly dislocated intraocular lens (IOL) and nucleus drop.Methods: Twenty four eyes of 24 patients that were implanted by PPV and SFIOL between January 2013 and January 2015 were retrospectively evaluated. Pre- and postoperative findings and complications were evaluated.Results: The mean age was 65.75±13.44 (32–87). The mean follow-up time was 21.29±7.17 (9–33) months. Fourteen patients were operated by IOL dislocation and 10 by nucleus or partial nucleus drop. Six dislocated IOLs were foldable one part, 6 foldable three parts, and 2 PMMA lenses. In IOL dislocations, 7 patient’s own IOLs; in 7 patients, a new IOL is fixed to the sclera. One-sided scleral fixation was applied to 9 patients. IOL implementation was applied to 9 patients by opening the scleral flap and to 15 patients by not opening the scleral flap. When the postoperative corrected visual acuities of the patients were compared with the preoperative corrected visual acuities, the mean visual acuity increased by 0.2 or more in 12 patients (50%) with Snellen acuity card, remained the same in 8 patients (33.30%), and decreased in 4 patients (16.6%). Postoperatively, retinal detachment was noted 1 patient (4.15%), increased intraocular pressure in 2 (8.30%), suture exposure in 4 (16.66%), and cystoid macular edema in 2 (8.30%). Hypotonia, choroid detachment, and endophthalmitis were not detected.Conclusion: In nucleus drop and IOL dislocation, PPV and SFIOL implementation should be attentively performed by taking into account serious complications in patients lacking capsular support. http://imj.galenos.com.tr/archives/archive-detail/article-preview/results-of-pars-plana-vitrectomy-and-scleral-fixat/20858 Dislocated nucleusIntraocular lensScleral-fixated intraocular lens |
| spellingShingle | Erkan Ünsal Kadir Eltutar Mustafa Suat Alıkma Results of Pars Plana Vitrectomy and Scleral-fixated Intraocular Lens Implantation in the Same Session İstanbul Medical Journal Dislocated nucleus Intraocular lens Scleral-fixated intraocular lens |
| title | Results of Pars Plana Vitrectomy and Scleral-fixated Intraocular Lens Implantation in the Same Session |
| title_full | Results of Pars Plana Vitrectomy and Scleral-fixated Intraocular Lens Implantation in the Same Session |
| title_fullStr | Results of Pars Plana Vitrectomy and Scleral-fixated Intraocular Lens Implantation in the Same Session |
| title_full_unstemmed | Results of Pars Plana Vitrectomy and Scleral-fixated Intraocular Lens Implantation in the Same Session |
| title_short | Results of Pars Plana Vitrectomy and Scleral-fixated Intraocular Lens Implantation in the Same Session |
| title_sort | results of pars plana vitrectomy and scleral fixated intraocular lens implantation in the same session |
| topic | Dislocated nucleus Intraocular lens Scleral-fixated intraocular lens |
| url |
http://imj.galenos.com.tr/archives/archive-detail/article-preview/results-of-pars-plana-vitrectomy-and-scleral-fixat/20858
|
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