Par Plana Vitrectomy for the Management of Retained Len Material After Cataract urgery Original Reearch Article

Purpoe To evaluate the management and outcome of patient undergoing par plana vitrectomy (PPV) for retained len material after cataract urgery; and to evaluate rik factor for poor viual outcome, retinal detachment, raied intraocular preure (IOP), and cytoid macular edema (CME). Deign Retropective interventional conecutive cae erie. Method etting: Intitutional and Clinical practice. tudy population: Patient with retained len material after cataract urgery who underwent vitrectomy at ydney Eye Hopital between July 1, 1998 and October 31, 2003. intervention: tandard three-port PPV/lenectomy. main outcome meaure: Final bet-corrected viual acuity (BCVA), retinal detachment, raied IOP, and CME. Reult A total of 223 eye of 223 patient were included, with a mean follow-up of 20.5 month after vitrectomy. Final BCVA wa 6/12 or better in 159 patient (71.3%). Retinal detachment occurred in 20 patient (9%), with 11 diagnoed before or during vitrectomy, and nine occurring after vitrectomy. Ten patient (5.0%) developed raied IOP and 42 (23.2%) developed CME. Poor final viual acuity wa aociated with retinal detachment (P = .0026), and with poor viual acuity at preentation (P = .030). There wa a ignificant aociation between retinal detachment and a long interval (>30 day) between cataract urgery and vitrectomy (P = .00047) and between retinal detachment and younger age (P = .0070). Concluion Viual acuity reult in thi tudy compared favorably with previouly publihed report. Although the overall rate of retinal detachment wa low, it wa ignificantly higher in thoe with a delayed interval between cataract urgery and vitrectomy, and wa ignificantly aociated with a poorer viual outcome.