23-gauge pars plana vitrectomy for management of posteriorly dislocated crystalline lens

Minhee Cho, RV Paul ChanWeill Cornell Medical College, Department of Ophthalmology, New York, NY, USAPurpose: Management of posteriorly dislocated crystalline lens has traditionally been performed with a standard 20-gauge vitrectomy system. This study demonstrates the use of a 23-gauge vitrectomy sy...

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Autores principales:	Cho M, Chan RVP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/fc7a2d9111cb495e97cc991beb8f83c2
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spelling	oai:doaj.org-article:fc7a2d9111cb495e97cc991beb8f83c22021-12-02T06:37:20Z23-gauge pars plana vitrectomy for management of posteriorly dislocated crystalline lens1177-54671177-5483https://doaj.org/article/fc7a2d9111cb495e97cc991beb8f83c22011-12-01T00:00:00Zhttp://www.dovepress.com/23-gauge-pars-plana-vitrectomy-for-management-of-posteriorly-dislocate-a8824https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Minhee Cho, RV Paul ChanWeill Cornell Medical College, Department of Ophthalmology, New York, NY, USAPurpose: Management of posteriorly dislocated crystalline lens has traditionally been performed with a standard 20-gauge vitrectomy system. This study demonstrates the use of a 23-gauge vitrectomy system for removal of retained lens fragments secondary to spontaneous dislocation or complicated cataract extraction.Methods: A retrospective, noncomparative, interventional consecutive case series at a single university medical center.Results: Fourteen eyes of 14 patients underwent a 23-gauge vitrectomy for removal of retained lens. Mean age was 75 years. Mean logMAR (logarithm of minimum angle of resolution) visual acuity was 1.47 (Snellen equivalent 20/600) preoperatively and 0.37 (Snellen equivalent 20/50) postoperatively. A 20-gauge fragmatome was used in 64% of cases. The mean time to the best post-vitrectomy acuity was 4.9 weeks. The mean healing time was 25 days (6&ndash;48 days). Post-vitrectomy complications included choroidal detachment (two patients), vitreous hemorrhage (two patients), and acute ocular hypertension (two patients). The mean length of follow-up was 6.2 months (1&ndash;13 months).Conclusion: A 23-gauge vitrectomy system alone or in combination with the 20-gauge fragmatome is a safe and efficacious option for removal of dense posteriorly dislocated crystalline lens material.Keywords: lensectomy, retained lens, PPVCho MChan RVPDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 1737-1743 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Cho M Chan RVP 23-gauge pars plana vitrectomy for management of posteriorly dislocated crystalline lens
description	Minhee Cho, RV Paul ChanWeill Cornell Medical College, Department of Ophthalmology, New York, NY, USAPurpose: Management of posteriorly dislocated crystalline lens has traditionally been performed with a standard 20-gauge vitrectomy system. This study demonstrates the use of a 23-gauge vitrectomy system for removal of retained lens fragments secondary to spontaneous dislocation or complicated cataract extraction.Methods: A retrospective, noncomparative, interventional consecutive case series at a single university medical center.Results: Fourteen eyes of 14 patients underwent a 23-gauge vitrectomy for removal of retained lens. Mean age was 75 years. Mean logMAR (logarithm of minimum angle of resolution) visual acuity was 1.47 (Snellen equivalent 20/600) preoperatively and 0.37 (Snellen equivalent 20/50) postoperatively. A 20-gauge fragmatome was used in 64% of cases. The mean time to the best post-vitrectomy acuity was 4.9 weeks. The mean healing time was 25 days (6&ndash;48 days). Post-vitrectomy complications included choroidal detachment (two patients), vitreous hemorrhage (two patients), and acute ocular hypertension (two patients). The mean length of follow-up was 6.2 months (1&ndash;13 months).Conclusion: A 23-gauge vitrectomy system alone or in combination with the 20-gauge fragmatome is a safe and efficacious option for removal of dense posteriorly dislocated crystalline lens material.Keywords: lensectomy, retained lens, PPV
format	article
author	Cho M Chan RVP
author_facet	Cho M Chan RVP
author_sort	Cho M
title	23-gauge pars plana vitrectomy for management of posteriorly dislocated crystalline lens
title_short	23-gauge pars plana vitrectomy for management of posteriorly dislocated crystalline lens
title_full	23-gauge pars plana vitrectomy for management of posteriorly dislocated crystalline lens
title_fullStr	23-gauge pars plana vitrectomy for management of posteriorly dislocated crystalline lens
title_full_unstemmed	23-gauge pars plana vitrectomy for management of posteriorly dislocated crystalline lens
title_sort	23-gauge pars plana vitrectomy for management of posteriorly dislocated crystalline lens
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/fc7a2d9111cb495e97cc991beb8f83c2
work_keys_str_mv	AT chom 23gaugeparsplanavitrectomyformanagementofposteriorlydislocatedcrystallinelens AT chanrvp 23gaugeparsplanavitrectomyformanagementofposteriorlydislocatedcrystallinelens
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23-gauge pars plana vitrectomy for management of posteriorly dislocated crystalline lens

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