Author/Authors :
Öner, Ayşe Erciyes Üniversitesi - Tıp Fakültesi - Göz Hastalıkları Anabilim Dalı, Turkey , Kılıç, Raşit Sivas Numune Hastanesi - Göz Kliniği, Turkey , Polat, Osman Ahmet Erciyes Üniversitesi - Tıp Fakültesi - Göz Hastalıkları Anabilim Dalı, Turkey , Arda, Hatice Erciyes Üniversitesi - Tıp Fakültesi - Göz Hastalıkları Anabilim Dalı, Turkey , Karaküçük, Sarper Erciyes Üniversitesi - Tıp Fakültesi - Göz Hastalıkları Anabilim Dalı, Turkey , Mirza, Ertuğrul Erciyes Üniversitesi - Tıp Fakültesi - Göz Hastalıkları Anabilim Dalı, Turkey
Abstract :
Aim. Evaluating results of pars plana vitrectomy surgeries for dislocated intraocular lenses and nucleuses during cataract surgeries and related to trauma. Method. Records of cases who underwent pars plana vitrectomy surgeries for vitreus dislocation of intraocular lenses and nucleuses during cataract surgeries and related to trauma between January 2009-January 2010 evaluated retrospectively. Results. 9 cases of nuclues dislocation during cataract surgery and 3 cases of nucleus dislocation after trauma and 5 cases of intraocular lens disloaction during cataract surgery and 1 case of both nucleus and intraocular lens dislocation during cataract surgery totally 18 cases included in the study. Preoperative median of visual acuity values of patients was 0.0025 (0.0025-0.002), postoperative median of visual acuity values was 0.1 (0.0025-0.8). Increased postoperative visual acuity values in comparison to preoperative values were found in 17 cases (94.4 %). In addition to PPV in same surgery intraocular lens implantation in sulcus for 11 cases, in anterior chamber for 3 cases and scleral fixation for 4 cases were performed. Visual acuity didn’t improve for 1 case with intraouclar lens dislocation as a result of corneal opacity. 1 case had retinal detachment 1.5 month after the initial surgery and underwent scleral buckling surgery. Conlusion. For cases with dislocated nucleus and intraocular lenses related to cataract surgery or trauma, bad prognosis can be prevented effectively by performing pars plana vitrectomy and secondary implantation of intraocular lenses.
NaturalLanguageKeyword :
Cataract , intraocular lens dislocation , nucleus dislocation , pars plana vitrectomy
