Management of dislocated nuclear fragments after phacoemulsification.

Abstract:

:We examined 13 patients referred for management of dislocated lens fragments after phacoemulsification. Ocular findings included corneal decompensation, glaucoma, inflammation, and retinal tears and detachments. Eleven of the 13 patients underwent vitrectomy with removal of lens fragments. Surgical indications included the presence of large lens fragments, uncontrolled glaucoma, persistent and severe inflammation, and retinal detachment. Better visual acuity was observed in patients who had smaller lens fragments or when vitrectomy was delayed to allow medical treatment of intraocular inflammation and glaucoma. The results indicate that nucleus dislocation during phacoemulsification is an important visual complication, with seven of the 13 patients having a final visual acuity of 20/80 or less.

journal_name

Am J Ophthalmol

authors

Fastenberg DM,Schwartz PL,Shakin JL,Golub BM

doi

10.1016/s0002-9394(14)76854-0

subject

Has Abstract

pub_date

1991-11-15 00:00:00

pages

535-9

issue

5

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(14)76854-0

journal_volume

112

pub_type

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