Timing of dislocated nuclear fragment management after cataract surgery
Φόρτωση...
Ημερομηνία
Συγγραφείς
Stefaniotou, M.
Aspiotis, M.
Pappa, C.
Eftaxias, V.
Psilas, K.
Τίτλος Εφημερίδας
Περιοδικό ISSN
Τίτλος τόμου
Εκδότης
Περίληψη
Τύπος
Είδος δημοσίευσης σε συνέδριο
Είδος περιοδικού
peer-reviewed
Είδος εκπαιδευτικού υλικού
Όνομα συνεδρίου
Όνομα περιοδικού
J Cataract Refract Surg
Όνομα βιβλίου
Σειρά βιβλίου
Έκδοση βιβλίου
Συμπληρωματικός/δευτερεύων τίτλος
Περιγραφή
PURPOSE: To determine the timing of vitrectomy in patients with dislocated nuclear fragments after phacoemulsification and to correlate timing with visual outcomes. SETTING: University Eye Clinic of Ioannina, Ioannina, Greece. METHODS: This was a retrospective review of the records of 26 patients who had phacoemulsification at the University Eye Clinic of Ioannina over a 5-year period. The mean age of the 13 men and 13 women was 66.9 years (range 59 to 80 years). All patients had nucleus or nuclear fragment dislocation into the vitreous cavity during phacoemulsification and had vitrectomy and removal of the dislocated nucleus. The postoperative follow-up ranged from 3 to 9 months. RESULTS: Eight patients (30.8%) had vitrectomy at the time of phacoemulsification (Group A), 8 (30.8%) within 3 weeks (Group B), and 10 (38.5%) after more than 3 weeks (Group C). Patients in Group A did not develop complications, and 87.5% achieved a final visual acuity of 5/10 or better. In Group B, 4 patients (50%) developed moderate intraocular inflammation and 5 patients achieved a final visual acuity of 5/10 or better. Six patients in Group C (60%) had phacoanaphylactic glaucoma and 3 (30.0%), retinal detachment; 70.0% had a final visual acuity of 3/10 or worse. CONCLUSION: Early vitrectomy (fewer than 3 weeks postoperatively) was associated with better visual results, while late vitrectomy resulted in limited visual acuity in a high percentage of patients and increased the risk for glaucoma and retinal detachment.
Περιγραφή
Λέξεις-κλειδιά
Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Lens Nucleus, Crystalline/pathology/*surgery, Lens Subluxation/etiology/*surgery, Male, Middle Aged, Phacoemulsification/*adverse effects, Postoperative Complications, Retrospective Studies, Risk Factors, Time Factors, Visual Acuity, *Vitrectomy
Θεματική κατηγορία
Παραπομπή
Σύνδεσμος
http://www.ncbi.nlm.nih.gov/pubmed/14604722
http://ac.els-cdn.com/S0886335003002451/1-s2.0-S0886335003002451-main.pdf?_tid=cfc5befde71e0d86fadbd0e4beb64b3d&acdnat=1337843261_60f0ad24c899387ab5fa956d8d8aa5f5
http://ac.els-cdn.com/S0886335003002451/1-s2.0-S0886335003002451-main.pdf?_tid=cfc5befde71e0d86fadbd0e4beb64b3d&acdnat=1337843261_60f0ad24c899387ab5fa956d8d8aa5f5
Γλώσσα
en
Εκδίδον τμήμα/τομέας
Όνομα επιβλέποντος
Εξεταστική επιτροπή
Γενική Περιγραφή / Σχόλια
Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής