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Clinical predictors, outcomes and economic impact of pars plana vitrectomy for retained lens material after cataract extraction

Session Details

Session Title: Quick Fire Free Paper Session 01

Session Date/Time: Thursday 26/09/2013 | 08:30-10:30

Paper Time: 09:55

Venue: Hall G1 (Level 2)

First Author: L.Sararols Ramsay SPAIN

Co Author(s):    K. Banon   J. Macaya   V. Mas   F. Goni     

Abstract Details

Purpose:

To investigate the preoperative clinical features, visual acuity outcomes, adverse events, number of outpatient appointments and relevant economic impact in patients with retained lens fragments after cataract surgery managed by pars plana vitrectomy (PPV).

Setting:

Retrospective, noncomparative, consecutive case series.

Methods:

Medical records of all our patients who underwent PPV for retained lens fragments after cataract extraction during a 6 year period (January 2007 until February 2013) were reviewed.

Results:

We included 48 eyes of 47 patients, with a median age of 79 years, median follow-up after PPV of 26 months. Median time between cataract surgery and PPV was 26 days (range 2 to 79 days). Visual acuity (VA) was more or equal than 20/40 at last follow up in 45.8%, VA was under 20/200 at last follow up in 16.6%. Intraocular pressure over 25mmHg was present in 25% of cases preoperatively and 2% postoperatively, topical treatment for glaucoma was necessary in 22.9% prior to cataract surgery, 79.1 % prior to PPV and 20.8% at last follow up. Preoperative ophthalmologic pathology was responsible for 87.5% (7/8) of bad VA outcomes. The median of postoperative visits during the first year after cataract surgery was 9 (range 2 to 24 visits), percentage of patients who required additional surgeries or laser procedures after PPV was 22.9%.

Conclusions:

The complication of retained lens fragments after cataract extraction is a severe complication. Although at present it can be resolved successfully and good visual outcomes can usually be achieved, the high volume of postoperative visits, additional surgeries, worsening of previous ophthalmologic pathology and the economic impact, is considerable.

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