Prognostic factors that determine visual outcome following cataract surgery complicated by vitreous loss

To identify prognostic factors that determine visual outcome following phacoemulsification cataract surgery complicated by vitreous loss. A retrospective cohort study. All cases of vitreous loss during phacoemulsification surgery at a university hospital, between June 2000 and December 2005, were id...

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Bibliographic Details
Published in:European journal of ophthalmology 2009-03, Vol.19 (2), p.247-253
Main Authors: Konstantopoulos, Aristides, Yadegarfar, Ghasem, Madhusudhana, Khrishnapa, Canning, Chris, Luff, Andrew, Anderson, David, Hossain, Parwez
Format: Article
Language:English
Subjects:
Aged
Eye Diseases - etiology
Female
Follow-Up Studies
Humans
Intraoperative Complications
Lens Implantation, Intraocular
Male
Phacoemulsification
Prognosis
Retrospective Studies
Risk Factors
Treatment Outcome
Visual Acuity - physiology
Vitreous Body - pathology
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Summary:To identify prognostic factors that determine visual outcome following phacoemulsification cataract surgery complicated by vitreous loss. A retrospective cohort study. All cases of vitreous loss during phacoemulsification surgery at a university hospital, between June 2000 and December 2005, were identified from the hospital computer database. By reviewing the medical notes, preoperative, intraoperative, and postoperative data were collected. Outcome of interest was presence of poor visual outcome (best-corrected visual acuity [BCVA] or= 0.05). In 33 (14.5%) eyes BCVA was reduced by at least one Snellen line compared to before surgery. Poor visual outcome was associated with poor preoperative vision, age-related macular degeneration, cystoid macular edema, and secondary PPV following nuclear fragment loss. Primary PPV for nuclear fragment loss was not a significant association.
ISSN:1120-6721
1724-6016
DOI:10.1177/112067210901900212