PMID- 28956215
OWN - NLM
STAT- Publisher
LR  - 20180321
IS  - 1573-2630 (Electronic)
IS  - 0165-5701 (Linking)
DP  - 2017 Sep 27
TI  - Timing of vitrectomy for retained lens fragments after cataract surgery.
LID - 10.1007/s10792-017-0719-8 [doi]
AB  - PURPOSE: To determine the outcomes of early (less than 7 inter-operative days)
      versus late (7 or greater inter-operative days) vitrectomy in patients with
      retained lens fragments in the posterior segment after cataract surgery. METHODS:
      This was a retrospective review of all patients underwent pars plana vitrectomy
      for retained lens fragments at the University of Virginia Hospital from 2002 to
      2015. RESULTS: Forty-one eyes were included in the analysis. Mean follow-up time 
      was 25.3 months (range 3.2 months-13 years). Patients in the early vitrectomy
      group had poorer baseline visual acuity than those in the late vitrectomy group
      (mean logMAR, 1.10 vs. 0.53, p = 0.030). No other pre-operative differences
      existed between the two groups. At the final follow-up, there was no significant 
      difference in visual acuity between the early (mean logMAR, 0.41) and the late
      (mean logMAR, 0.45) vitrectomy groups. There were no differences in rates of
      glaucoma, retinal detachment, or cystoid macular edema between the groups.
      Factors associated with final visual acuity of worse than 20/40 were diabetes
      mellitus, placement of anterior chamber intraocular lens at cataract surgery,
      cortical as opposed to nuclear retained lens fragments, post-cataract extraction 
      complications, need for glaucoma medications, and additional surgery after
      vitrectomy. Separate analysis was done for patients with pre-existing eye disease
      resulting in worse than 20/40 vision, which showed. CONCLUSION: Clinical outcomes
      were similar in patients undergoing early and late vitrectomy. Patients with
      poorer baseline visual acuity were more likely to receive early vitrectomy. Worse
      final visual acuity was seen in patients with baseline diagnosis of diabetes and 
      in those who experienced post-operative complications.
FAU - Peck, Travis
AU  - Peck T
AUID- ORCID: http://orcid.org/0000-0001-9041-5776
AD  - Department of Ophthalmology, University of Virginia, 1300 Jefferson Park Avenue, 
      Charlottesville, VA, 22901, USA. tp3uz@virginia.edu.
FAU - Park, Janice
AU  - Park J
AD  - Department of Ophthalmology, University of Virginia, 1300 Jefferson Park Avenue, 
      Charlottesville, VA, 22901, USA.
FAU - Bajwa, Asima
AU  - Bajwa A
AD  - Department of Ophthalmology, University of Virginia, 1300 Jefferson Park Avenue, 
      Charlottesville, VA, 22901, USA.
FAU - Shildkrot, Yevgeniy
AU  - Shildkrot Y
AD  - Department of Ophthalmology, University of Virginia, 1300 Jefferson Park Avenue, 
      Charlottesville, VA, 22901, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20170927
PL  - Netherlands
TA  - Int Ophthalmol
JT  - International ophthalmology
JID - 7904294
OTO - NOTNLM
OT  - Cataract complications
OT  - Pars plana vitrectomy
OT  - Retained cortex
OT  - Retained lens fragments
OT  - Retained nucleus
OT  - Timing of vitrectomy for retained lens fragments
EDAT- 2017/09/29 06:00
MHDA- 2017/09/29 06:00
CRDT- 2017/09/29 06:00
PHST- 2017/03/29 00:00 [received]
PHST- 2017/09/18 00:00 [accepted]
PHST- 2017/09/29 06:00 [pubmed]
PHST- 2017/09/29 06:00 [medline]
PHST- 2017/09/29 06:00 [entrez]
AID - 10.1007/s10792-017-0719-8 [doi]
AID - 10.1007/s10792-017-0719-8 [pii]
PST - aheadofprint
SO  - Int Ophthalmol. 2017 Sep 27. pii: 10.1007/s10792-017-0719-8. doi:
      10.1007/s10792-017-0719-8.