Visual outcome in management of posterior capsular thickening by anterior vitrectomy through limbal route

Session Details

Session Title: IOL technology/New IOLs etc.

Session Date/Time: Saturday 13/09/2014 | 08:30-10:30

Paper Time: 09:56

Venue: Boulevard A

First Author: : A.Sami PAKISTAN

Co Author(s): :    A. Baqi   M. Anwar           

Abstract Details

Purpose:

To evaluate the safety efficacy and visual outcome in the management of primary posterior capsulotomy through limbus.

Setting:

Institute of opthalmology/Mayohospital Lahore

Methods:

This prospective intervention case series was conducted in Institute of Ophthalmology/Mayo hospital Lahore from January 2012 to January 2014. Complete ophthalmic examination of anterior and posterior segments including assessment of type of posterior capsular opacification, visual acuity, intraocular pressure and B scan were carried out. This study included 30 eyes of 28 patients who underwent anterior vitrectomy and capsulotomy performed through limbus. Mean follow up was 6 months. Surgical techniques, per operative and postoperative complications were recorded. Final visual acuity was also recorded. Outcome measures were assessment of visual acuity and complications.

Results:

The study included 30 eyes of 28 patients with posterior capsular thickening who were treated with anterior vitrectomy with capsulotomy through limbal approach. There were 14 (47 %) male and 16 (53%) female eyes. The mean follow up was 6 months (ranges from 3 to 24 months). In 12 eyes the intraocular lenses were implanted including 4 eyes (33%) with anterior chamber lens implantation and in 8 eyes (67%) with posterior chamber lens implantation. Visual acuity was improved in all eyes 6/60 in three (10 %) eyes ,6/36 to 6/24 in one ( 3.3% ) eyes 6/18 to 6/12 in sixteen (55 %),6/9 to 6/6 in seven eyes (23 % ). Mean intraocular pressure ranged from 8 to 28. Complications included moderate uveitis in seven eye (23% ), two (6.6% ) eyes developed glaucoma, lens tilt occured in three eyes (30% ) due to poor support of posterior capsule, hypotony in two eyes (6.6% ), vitreous hemorrhage in four (13 %) eyes and insufficient capsular opening was noted in 2 eyes (6.6%) eyes. We found no case of recurrent posterior capsular opacification, retinal detachment and endopthalmitis. No eye developed recurrent posterior capsular thickening.

Conclusions:

Anterior vitrectomy with posterior capsulotomy through limbus appears to be a safe and effective procedure to improve visual acuity in patients with thick posterior capsular thickening.

Financial Interest:

NONE