Visual Results and Complications of Posterior Chamber Intraocular Lens Implantation After Capsular Tear During Phacoemulsification

Onal, Sumru; Gözüm, Nilüfer; Gücükoğlu, Ahmet

doi:10.3928/1542-8877-20040501-09

Cited by 24 publications

(16 citation statements)

References 22 publications

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“…Because patients with DM are at known increased risk for developing CME, by department protocol all diabetics are treated with NSAIDs for 90 days after cataract surgery, whether surgery was complicated by posterior capsule tear or vitreous loss. This protocol is followed due to numerous published reports that indicate intraoperative complications [36][37][38] and DM 10,37-39 as risk factors for development of CME (McColgin AZ, Raizman MB. IOVS 1999; 40:ARVO Abstract 1529).…”

Section: Discussionmentioning

confidence: 99%

Clinical pseudophakic cystoid macular edema

Henderson¹,

Kim²,

Ament³

et al. 2007

Journal of Cataract and Refractive Surgery

265

105

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Section: Discussionmentioning

confidence: 99%

Clinical pseudophakic cystoid macular edema

Henderson¹,

Kim²,

Ament³

et al. 2007

Journal of Cataract and Refractive Surgery

265

105

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“…1998; Ionides et al. 2001; Blomquist & Rugwani 2002; Tan & Karwatowski 2002; Onal et al. 2004; Ang & Whyte 2006; Johansson et al.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of pseudophakic retinal detachment

Tuft

Gore

Bunce

et al. 2011

Acta Ophthalmologica

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. Purpose: To provide data on the outcome of pseudophakic retinal detachment (PRD). Methods: In a retrospective case–control study, we identified a consecutive series of 63 298 cataract extractions (45 520 patients) performed in a single institution between 1994 and 2003. We included 249 cases with PRD and 845 controls that had cataract surgery on the same day as cases but without PRD. Outcome measures were the risk of impaired vision (6/18–6/60) or blindness (<6/60). A multinomial logistic regression model evaluated risk factors for impaired vision or blindness, while multivariable regression models measured the relative risk of poor visual outcome for posterior capsule tear (PCT) and PRD. Results: Primary pars plana vitrectomy was performed on 207 (84.5%) of the 245 cases treated with surgery, of which 175 (71.4%) needed one procedure. The final acuity was <6/60 in 62 cases (24.9%) and 34 controls (4.0%). After PRD, the relative risk for a final visual outcome <6/60 was 6.8 [95% confidence interval (CI) 4.3–10.6; p < 0.001], and we estimated that the proportion of blindness attributable to PRD was 1.1% (CI 0.7–1.9%). A PCT prior to a PRD was not associated with an increased risk of macular detachment (p = 0.165), but it did carry an increased risk of blindness [odds ratio 4.8 (CI 2.2–10.2; p < 0.001]. Conclusion: Although a PCT has an adverse effect on visual outcome after cataract surgery, a PRD is the foremost surgery‐related risk for a poor visual outcome. Patient education of symptoms and prompt treatment may limit the visual consequences.

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“…More important, the visual outcome is doubtful and may not match the one expected after uneventful cataract extraction, as has been shown in short-term follow-up studies. [1][2][3][4][5][6][7] However, long-term data on the outcomes after phacoemulsification with a capsule complication are scarce.…”

mentioning

confidence: 98%