J Korean Ophthalmol Soc.  2009 Sep;50(9):1341-1347. 10.3341/jkos.2009.50.9.1341.

Pars Plana Vitrectomy Combined With Surgical Removal of Anterior and Posterior Capsular Opacity

Affiliations
  • 1Department of Ophthalmology, Soonchunhyang University College of Medicine, Seoul, Korea. wismile@unitel.co.kr

Abstract

PURPOSE
To evaluate the efficacy and intraocular lens (IOL) stability of vitrectomy combined with the surgical removal of anterior capsular opacity (ACO) and posterior capsular opacity (PCO). METHODS: Forty-four pseudophakic eyes of 43 patients with retinal disorders underwent vitrectomy with surgical removal after cataract diagnosis. Nineteen eyes of 19 patients (group 1) had ACO and PCO removed while 25 eyes of 24 patients (group 2) had only PCO removed. Total removal of the entire lens capsule, except for the area around the haptics, was performed when capsular opacity with fibrosis was observed around the capsulorrhexis margin. LogMAR best corrected visual acuity (BCVA), intraoperative complications and postoperative complications were compared. RESULTS: The retina was flat and postoperative BCVA improved in both groups. Intraoperative complications of IOL dislocation occurred in 3 eyes (15.8%) in group 1 and in 1 eye (4.0%) in group 2 (p=0.178). Among the 4 IOLs, 3 were open-loop haptic IOLs and 1 was a closed-loop haptic IOL. Late postoperative complications of IOL capture occurred in 1 eye (5.3%) in group 1. CONCLUSIONS: Removal of ACO and PCO for better visualization of the peripheral retina resulted in an improved visual recovery while intraoperative complications and postoperative complications were comparable to PCO removal alone. Removal limited to the optic zone would be more stable when considering any adhesion between the lens capsule and the IOL.

Keyword

After cataract; Anterior capsular opacity; IOL stability; Posterior capsular opacity; Vitrectomy

MeSH Terms

Capsulorhexis
Cataract
Dislocations
Eye
Fibrosis
Humans
Intraoperative Complications
Lenses, Intraocular
Postoperative Complications
Retina
Retinaldehyde
Visual Acuity
Vitrectomy
Retinaldehyde
Full Text Links
  • JKOS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2022 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr