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Journals / Türk Oftalmoloji Dergisi / 2004 / Cilt: 34 - Sayı: 3

Pars plana vitrectomy, intravitreal phacoemulsification and implantation of transsclerally fixated posterior chamber intraocular lens via scleral tunnel for dislocated crystalline lenses

Vitreus içine lens dislokasyonunda pars plana vitrektomi, intravitreal fakoemülsifikasyon ve skleral kesiden skleral fiksasyonlu lens implantasyonu

Erkan ÇELİK
Fatih HOROZOĞLU
Yeşim ERÇALIK
H. Nur ORTAK
Ateş YANYALI
Ahmet F. NOHUTÇU
Pages
181–185
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Successful anatomic results and early visual rehabilitation were the advantages of this surgical technique.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose : To evaluate the effectiveness and safety of pars plana vitrectomy (PPV). intravitreal phacoemulsification of dislocated lens and implantation of transsclerally fixated posterior chamber intraocular lens (PCIOL) via scleral tunnel in the treatment of dislocated crystalline lenses.
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Key Findings & Data:Methods : In this prospective study. 7 eyes with dislocated crystalline lenses secondary to trauma or cataract surgery were evaluated.
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Conclusion & Impact:Successful anatomic results and early visual rehabilitation were the advantages of this surgical technique.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Purpose : To evaluate the effectiveness and safety of pars plana vitrectomy (PPV). intravitreal phacoemulsification of dislocated lens and implantation of transsclerally fixated posterior chamber intraocular lens (PCIOL) via scleral tunnel in the treatment of dislocated crystalline lenses. Methods : In this prospective study. 7 eyes with dislocated crystalline lenses secondary to trauma or cataract surgery were evaluated. PPV. perfluorocarbon liquid assisted intravitreal phacoemulsification of dislocated lens and implantation of transsclerally fixated PCIOL via scleral tunnel were performed in all cases. Main outcome measures were anatomical and visual outcomes. and surgical complications. Results : Mean age of the patients was 68.1±5.5 years (60-74 years) and mean follow-up time was 9±3.3 months (3-12 months). Preoperative best-corrected visual acuity was between counting fingers at 1 meter and 3/10. Postoperative best-corrected visual acuity improved in all eyes. except 1 eye (in which it remained the same). and was found to be 5/10 or better in 5 of 7 eyes. Postoperative complications were transient increase of intraocular pressure in 4 eyes. transient inflammation in 3 eyes. spontaneously resolved vitreous hemorrhage in 1 eye. fibrin reaction in 1 eye and retinal detachment in 1 eye. Retinal detachment was treated successfully. Conclusion : PPV. intravitreal phacoemulsification of dislocated lens and implantation of transsclerally fixated PCIOL via scleral tunnel were observed to be effective and safe in the treatment of dislocated crystalline lenses. Successful anatomic results and early visual rehabilitation were the advantages of this surgical technique.

Özet

Amaç: Vitreus içine lens dislokasyonu olan olgularda pars plana vitrektomi (PPV), disloke lensin intravitreal fakoemülsifikasyonu ve skleral keşiden skleral fiksasyonlu göz içi lensi (GİL) implantasyonunun etkinliğini ve güvenirliğini araştırmak. Yöntem: Bu prospektif çalışmada, travma ya da katarakt cerrahisi sırasında vitreusa lens dislokasyonu gelişmiş 7 olgu incelendi. Tüm olgulara PPV, sıvı perflorokarbon koruması altın¬da disloke lensin intravitreal fakoemülsifikasyonu ve skleral tünelden skleral fiksasyonlu GİL implantasyonu yapıldı. Çalışmamızda araştırdığımız ana parametreler, anatomik ve görsel sonuçlarla birlikte cerrahi komplikasyonlar idi. Bulgular: Yaşları 60 ile 74 (Ort.: 68.1 ±5.5 yıl) arasında değişen hastalar ortalama 9±3.3 ay (3-12 ay) takip edildi. Olguların düzeltilmiş preoperatif görme keskinlikleri 1 metreden parmak sayma ile 3/10 arasında değişmekteydi. Postoperatif takiplerde, görme keskinliği aynı düzeyde kalan 1 olgu dışında tüm olgularda düzeltilmiş görme keskinliği arttı ve 7 olgunun 5'inde görme keskinliği 5/10 ve üzerinde bulundu. Postoperatif komplikasyon olarak 4 olguda geçici göz içi basınç artışı, 3 olguda geçici inflamasyon, 1 olguda kendiliğinden açılan vitreus hemorajisi, 1 olguda fibrin reaksiyonu ve 1 olguda da retina dekolmanı saptandı. Retina dekolmanı başarı ile tedavi edildi. Sonuç: Vitreus içine lens dislokasyonu olan olgularda PPV, disloke lensin intravitreal fakoemülsifikasyonu ve skleral keşiden skleral fiksasyonlu GİL implantasyonu etkin ve güvenilir bir yöntem olarak gözlendi. Skleral tünelden skleral fiksasyonlu lens implantasyonunun anatomik olarak iyi sonuç vermesi ve erken görsel rehabilitasyon sağlaması bu tekniğin avantajları olarak değerlendirildi.

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Cite This Article

ÇELİK, E., HOROZOĞLU, F., ERÇALIK, Y., ORTAK, H. N., YANYALI, A., NOHUTÇU, A. F. (2022). Pars plana vitrectomy, intravitreal phacoemulsification and implantation of transsclerally fixated posterior chamber intraocular lens via scleral tunnel for dislocated crystalline lenses. Türk Oftalmoloji Dergisi, Cilt: 34 - Sayı: 3, 181–185. https://ajindex.com/articles/638881

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References (16)

  1. Kapusta MA, Chen JC, Lam WC: Outcomes of dropped nucleus during phacoemulsification. Ophthalmology 1996
  2. 103(8):1184-7 2. Avcı R, Baykara M: Katarakt cerrahisine bağlı nükleus dislokasyonlarında cerrahi tedavi. Ret-Vit 2001
  3. 9(2): 137-44 3. Margherio RR, Margherio AR, Pendergast SD, Williams GA, Garretson BR, Strong LE, Trese MT, Cox MS, Hassan TS: Vitrectomy for retained lens fragments after phacoemulsification. Ophthalmology 1997
  4. 104(9): 1426-32 4. Borne MJ, Tasman W, Regillo C, Malecha M, Sarin L: Outcomes of vitrectomy for retained lens fragments. Ophthalmology 1996
  5. 103(6):971-6 5. Özdek Ş, Sarı A, Bilgihan K ve ark: Surgical treatment of hereditary lens subluxations. Ophthalmic Surgery and Lasers 2002
  6. 13 6. Özdamar A, Aras C, Erçıkan C: Fakoemülsifikasyon esnasında vitreusa disloke lens parçalarının cerrahi tedavisi. Ret-Vit 1999
  7. 7(2): 119-23 7. Flynn HW Jr, Smiddy WE: Removal of retained lens fragments. In: Peyman GA, Meffert SA, Conway MD, Chou F, eds. Vitreoretinal surgical techniques. London: Martin Dunitz Ltd, 2001
  8. 8 8. Yoshida K, Kiryu J, Kita M, Ogura Y: Phacoemulsification of dislocated lens and suture fixation of intraocular lens using a perfluorocarbon liquid. Jpn J Ophthalmol 1998
  9. 42(6):471-5 9. Imai M, Iijima H, Takeda N: intravitreal phacoemulsification with pars plana vitrectomy and posterior chamber intraocular lens suture fixation for dislocated crystalline lenses. J Cataract Refract Surg 2001
  10. 27(11): 1724-8 10. Solomon K, Gussler JR, Gussler C, Van Meter WS: Incidence and management of complications of transsclerally sutured posterior chamber lenses. J Cataract Refract Surg 1993
  11. 19(4):488-93 11. Lee JG, Lee JH, Chung H: Factors contributing to retinal detachment after transscleral fixation of posterior chamber intraocular lenses. J Cataract Refract Surg 1998
  12. 24(5):945-50 12. Yanyalı A, Karaağaç H, Özmen D ve ark: Katarakt cerrahisi sırasında gelişen lens dislokasyonlarında vitrektomi ve intravitreal fakoemülsifikasyon. MN Oftalmoloji 2003
  13. 9 13. Apple DJ, Brems RN, Park RB, et al: Anterior chamber lenses. Part I: Complications and pathology and a review of designs. J Cataract Refract Surg 1987
  14. 13(2):157-74 14. Apple DJ, Mamalis N, Loftfield K, et al: Complications of intraocular lenses. A historical and histopathological review. Surv Ophthalmol 1984
  15. 29(1): 1-54 15. Wagoner MD, Cox TA, Ariyasu RG, Jacobs DS, Karp CL
  16. American Academy of Ophthalmology. Intraocular lens implantation in the absence of capsul