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PMID- 29688848
OWN - NLM
STAT- MEDLINE
DCOM- 20180430
LR  - 20180501
IS  - 1471-2415 (Electronic)
IS  - 1471-2415 (Linking)
VI  - 18
IP  - 1
DP  - 2018 Apr 23
TI  - Combined 23-gauge transconjunctival vitrectomy and scleral fixation of
      intraocular lens without conjunctival dissection in managing lens complications.
PG  - 108
LID - 10.1186/s12886-018-0776-4 [doi]
AB  - BACKGROUND: To evaluate the safety and efficacy of combined 23-gauge
      transconjunctival pars plana vitrectomy and scleral fixation of intraocular lens 
      (IOL) without conjunctival dissection. METHODS: A retrospective study in Chang
      Gung Memorial Hospital, Keelung and Taoyuan, Taiwan. Patients receiving combined 
      23-gauge transconjunctival pars plana vitrectomy and scleral fixation of IOL
      without conjunctival dissection were enrolled. The ocular findings, causes of
      lens complication, surgical procedures, type of IOL used, and complications were 
      documented. RESULTS: We included 40 eyes from 39 patients (27 male, 12 female)
      with a mean age of 59.5 [standard deviation (+/-) 14.8] years old. The mean
      follow-up duration was 6.8 +/- 5.4 months. The cause of lens complications was
      ocular trauma in 24 (60%) eyes, cataract surgery complications in 11 (28%) eyes, 
      and spontaneous subluxation of crystalline lens in 5 (13%) eyes. The overall best
      corrected visual acuity (BCVA) (logMAR) improved from 1.359 +/- 0.735 to 0.514
      +/- 0.582 (p < 0.001). The BCVA also improved significantly in each group with
      different causes of lens complications. Preoperative BCVA was the only factor
      associated with the postoperative visual outcome (p = 0.008). Most
      surgery-related complications were self-limited, including mild vitreous
      hemorrhage (5%), microhyphema (5%), transient elevated intraocular pressure (3%),
      and transient hypotony (3%). Cystoid macular edema and IOL decentration was found
      in 3 (8%) eyes and 1 (3%) eye respectively. CONCLUSIONS: Combined 23-gauge
      transconjunctival vitrectomy and scleral fixation of IOL without conjunctival
      dissection is effective and safe in managing a wide variety of lens
      complications, with good postoperative comfort and visual recovery. TRIAL
      REGISTRATION: Retrospective study, not applicable.
FAU - Yeung, Ling
AU  - Yeung L
AD  - Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan.
AD  - College of Medicine, Chang Gung University, Taoyuan, Taiwan.
FAU - Wang, Nan-Kai
AU  - Wang NK
AD  - College of Medicine, Chang Gung University, Taoyuan, Taiwan.
AD  - Department of Ophthalmology, Chang Gung Memorial Hospital, No 5, Fu Hsing Street,
      Kuei Shan, Taoyuan, Taiwan.
FAU - Wu, Wei-Chi
AU  - Wu WC
AD  - College of Medicine, Chang Gung University, Taoyuan, Taiwan.
AD  - Department of Ophthalmology, Chang Gung Memorial Hospital, No 5, Fu Hsing Street,
      Kuei Shan, Taoyuan, Taiwan.
FAU - Chen, Kuan-Jen
AU  - Chen KJ
AD  - College of Medicine, Chang Gung University, Taoyuan, Taiwan. [email protected]
AD  - Department of Ophthalmology, Chang Gung Memorial Hospital, No 5, Fu Hsing Street,
      Kuei Shan, Taoyuan, Taiwan. [email protected]
LA  - eng
PT  - Journal Article
DEP - 20180423
PL  - England
TA  - BMC Ophthalmol
JT  - BMC ophthalmology
JID - 100967802
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Conjunctiva/surgery
MH  - Eye Injuries/surgery
MH  - Female
MH  - Humans
MH  - Lens Diseases/*surgery
MH  - Lens Implantation, Intraocular/*methods
MH  - Lenses, Intraocular
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications
MH  - Retrospective Studies
MH  - Sclera/*surgery
MH  - Suture Techniques
MH  - Taiwan
MH  - Vitrectomy/*methods
MH  - Young Adult
PMC - PMC5914032
OTO - NOTNLM
OT  - Cataract surgery
OT  - Intraocular lens
OT  - Lens dislocation
OT  - Lens subluxation
OT  - Scleral fixation
EDAT- 2018/04/25 06:00
MHDA- 2018/05/01 06:00
CRDT- 2018/04/25 06:00
PHST- 2017/12/28 00:00 [received]
PHST- 2018/04/17 00:00 [accepted]
PHST- 2018/04/25 06:00 [entrez]
PHST- 2018/04/25 06:00 [pubmed]
PHST- 2018/05/01 06:00 [medline]
AID - 10.1186/s12886-018-0776-4 [doi]
AID - 10.1186/s12886-018-0776-4 [pii]
PST - epublish
SO  - BMC Ophthalmol. 2018 Apr 23;18(1):108. doi: 10.1186/s12886-018-0776-4.