Delayed vitreous prolapse after cataract surgery: clinical features and surgical outcomes

Abstract This study investigates the etiology and clinical features of delayed vitreous prolapse after cataract surgery and evaluates the long-term surgical and visual outcomes. Consecutive patients with vitreous prolapse into the anterior chamber occurring ≥ 3 months after cataract surgery at two h...

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Autores principales:	Tae Young Kim, Hyun Goo Kang, Chan Yun Kim, Hyoung Jun Koh, Sung Soo Kim, Min Kim
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8686334c24254b348e527bf5bf5615de
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spelling	oai:doaj.org-article:8686334c24254b348e527bf5bf5615de2021-12-02T15:07:54ZDelayed vitreous prolapse after cataract surgery: clinical features and surgical outcomes10.1038/s41598-021-95527-02045-2322https://doaj.org/article/8686334c24254b348e527bf5bf5615de2021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-95527-0https://doaj.org/toc/2045-2322Abstract This study investigates the etiology and clinical features of delayed vitreous prolapse after cataract surgery and evaluates the long-term surgical and visual outcomes. Consecutive patients with vitreous prolapse into the anterior chamber occurring ≥ 3 months after cataract surgery at two hospitals between December 2006 and June 2020 were retrospectively reviewed. The primary outcome was associated ophthalmological events that triggered delayed vitreous prolapse. Secondary outcomes included long-term visual and subjective symptom changes after treatment. Among 20 eyes (20 patients), all had visual symptoms, the most common being blurry vision (12 patients; 60%). Five (25%) were detected after YAG laser capsulotomy, three (15%) had a history of intraocular lens(IOL) implantation in sulcus due to intraoperative posterior capsular tears, three (15%) had prolapsed vitreous alongside dislocated IOLs, and three (15%) were aphakic after previous cataract surgeries. After surgical treatment, the mean corrected distance visual acuity improved from 20/50 to 20/31(P = 0.02) and the mean preoperative intraocular pressure (IOP) that was 26.4 mmHg decreased to 15.6 mmHg, remaining stable until the last follow-up. All reported symptoms were relieved. YAG laser capsulotomy or a history of defective posterior capsule from iatrogenic causes may trigger delayed vitreous prolapse. The long-term outcomes were favorable, particularly after posterior vitrectomy, with improved IOP control and symptom resolution.Tae Young KimHyun Goo KangChan Yun KimHyoung Jun KohSung Soo KimMin KimNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tae Young Kim Hyun Goo Kang Chan Yun Kim Hyoung Jun Koh Sung Soo Kim Min Kim Delayed vitreous prolapse after cataract surgery: clinical features and surgical outcomes
description	Abstract This study investigates the etiology and clinical features of delayed vitreous prolapse after cataract surgery and evaluates the long-term surgical and visual outcomes. Consecutive patients with vitreous prolapse into the anterior chamber occurring ≥ 3 months after cataract surgery at two hospitals between December 2006 and June 2020 were retrospectively reviewed. The primary outcome was associated ophthalmological events that triggered delayed vitreous prolapse. Secondary outcomes included long-term visual and subjective symptom changes after treatment. Among 20 eyes (20 patients), all had visual symptoms, the most common being blurry vision (12 patients; 60%). Five (25%) were detected after YAG laser capsulotomy, three (15%) had a history of intraocular lens(IOL) implantation in sulcus due to intraoperative posterior capsular tears, three (15%) had prolapsed vitreous alongside dislocated IOLs, and three (15%) were aphakic after previous cataract surgeries. After surgical treatment, the mean corrected distance visual acuity improved from 20/50 to 20/31(P = 0.02) and the mean preoperative intraocular pressure (IOP) that was 26.4 mmHg decreased to 15.6 mmHg, remaining stable until the last follow-up. All reported symptoms were relieved. YAG laser capsulotomy or a history of defective posterior capsule from iatrogenic causes may trigger delayed vitreous prolapse. The long-term outcomes were favorable, particularly after posterior vitrectomy, with improved IOP control and symptom resolution.
format	article
author	Tae Young Kim Hyun Goo Kang Chan Yun Kim Hyoung Jun Koh Sung Soo Kim Min Kim
author_facet	Tae Young Kim Hyun Goo Kang Chan Yun Kim Hyoung Jun Koh Sung Soo Kim Min Kim
author_sort	Tae Young Kim
title	Delayed vitreous prolapse after cataract surgery: clinical features and surgical outcomes
title_short	Delayed vitreous prolapse after cataract surgery: clinical features and surgical outcomes
title_full	Delayed vitreous prolapse after cataract surgery: clinical features and surgical outcomes
title_fullStr	Delayed vitreous prolapse after cataract surgery: clinical features and surgical outcomes
title_full_unstemmed	Delayed vitreous prolapse after cataract surgery: clinical features and surgical outcomes
title_sort	delayed vitreous prolapse after cataract surgery: clinical features and surgical outcomes
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/8686334c24254b348e527bf5bf5615de
work_keys_str_mv	AT taeyoungkim delayedvitreousprolapseaftercataractsurgeryclinicalfeaturesandsurgicaloutcomes AT hyungookang delayedvitreousprolapseaftercataractsurgeryclinicalfeaturesandsurgicaloutcomes AT chanyunkim delayedvitreousprolapseaftercataractsurgeryclinicalfeaturesandsurgicaloutcomes AT hyoungjunkoh delayedvitreousprolapseaftercataractsurgeryclinicalfeaturesandsurgicaloutcomes AT sungsookim delayedvitreousprolapseaftercataractsurgeryclinicalfeaturesandsurgicaloutcomes AT minkim delayedvitreousprolapseaftercataractsurgeryclinicalfeaturesandsurgicaloutcomes
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Delayed vitreous prolapse after cataract surgery: clinical features and surgical outcomes

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