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Retained lens material after cataract extraction: surgery, outcomes and economic impact

Session Details

Session Title: Surgical Outcomes

Session Date/Time: Monday 07/10/2013 | 08:00-09:30

Paper Time: 08:42

Venue: Auditorium (First Floor)

First Author: : L.Sararols Ramsay SPAIN

Co Author(s): :    K. Bańon Perard   M. Guarro Miralles   F. Gońi Foncillas        

Abstract Details

Purpose:

To investigate the preoperative clinical features, cataract surgeon attitude to complication, visual acuity outcomes, pre and postoperative ocular hypertension, glaucomaadverse 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.

Financial Interest:

NONE