Dropped lens fragments retrieval using endoscopy-assisted pars plana vitrectomy in patients with corneal opacity.

IF 4.1 1区 医学 Q1 OPHTHALMOLOGY
Amanda K Hertel, Martin A Mainster, Mary Champion, Radwan S Ajlan
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引用次数: 0

Abstract

Purpose: To characterize the surgical outcomes of endoscopy-assisted pars plana vitrectomy (E-PPV) in dropped lens fragments retrieval in patients with corneal opacity.

Background: Corneal opacity may delay dropped lens fragment retrieval because of limited fundus view. E-PPV permits posterior segment visualization through corneal opacity. There is limited data on E-PPV use for dropped lens fragments retrieval in the literature.

Design: Retrospective cohort study.

Methodology: A retrospective chart review was performed of dropped lens fragments retrieval procedures done between 2013 and 2023 at a tertiary referral center. Data was collected on the surgical approach, visual acuity (VA) and intraocular pressure (IOP) as well as complication rates including retinal detachment (RD), cystoid macular edema (CME), and epiretinal membrane formation (ERM). Statistical analysis was performed using t-tests and chi-squared tests. Statistical significance was defined as a p-value of 0.05.

Results: There were 74 patients who met the inclusion criteria (31 patients had E-PPV, and 43 patients had standard pars plana vitrectomy (S-PPV)). Groups were balance in age and gender. Postoperative CME rate was 25.8% after E-PPV and 25.58% after S-PPV (p-value: 0.95). Postoperative RD rate was 0% after E-PPV and 7% S-PPV (p-value: 0.13). After one-year, there was no difference in postoperative VA, IOP and rates of RD, CME, or ERM between groups. Interval time to dropped lens retrieval did not change the final outcome in either group.

Conclusion: This study showed that performing E-PPV to extract dropped lens fragments through corneal opacity had similar final outcomes compared to S-PPV, regardless of the interval time to surgery following the dropped lens fragments. Removing dropped lens fragments using E-PPV before cornea opacity clearance provided similar outcome to delayed cases. Further studies are needed on the psychological benefit on patients undergoing dropped lens removal sooner than others.

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来源期刊
CiteScore
9.20
自引率
7.10%
发文量
406
审稿时长
36 days
期刊介绍: The American Journal of Ophthalmology is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and visual science specialists describing clinical investigations, clinical observations, and clinically relevant laboratory investigations. Published monthly since 1884, the full text of the American Journal of Ophthalmology and supplementary material are also presented online at www.AJO.com and on ScienceDirect. The American Journal of Ophthalmology publishes Full-Length Articles, Perspectives, Editorials, Correspondences, Books Reports and Announcements. Brief Reports and Case Reports are no longer published. We recommend submitting Brief Reports and Case Reports to our companion publication, the American Journal of Ophthalmology Case Reports. Manuscripts are accepted with the understanding that they have not been and will not be published elsewhere substantially in any format, and that there are no ethical problems with the content or data collection. Authors may be requested to produce the data upon which the manuscript is based and to answer expeditiously any questions about the manuscript or its authors.
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