Loading…
Giant Retinal Tear as a Complication of Attempted Removal of Intravitreal Lens Fragments During Cataract Surgery
To report giant retinal tear and retinal detachment as a complication of attempted removal of intravitreal lens fragments at the time of cataract surgery and to evaluate the anatomic and visual acuity outcomes of pars plana vitrectomy and retinal reattachment surgery. Retrospectively, 10 patients wi...
Saved in:
Published in: | American journal of ophthalmology 1997-08, Vol.124 (2), p.222-226 |
---|---|
Main Authors: | , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c463t-37e52e7274d9f7655721c603377c4a18223ade1579a1d2ed5f104584c5dd575a3 |
---|---|
cites | cdi_FETCH-LOGICAL-c463t-37e52e7274d9f7655721c603377c4a18223ade1579a1d2ed5f104584c5dd575a3 |
container_end_page | 226 |
container_issue | 2 |
container_start_page | 222 |
container_title | American journal of ophthalmology |
container_volume | 124 |
creator | AABERG, THOMAS M. RUBSAMEN, PATRICK E. FLYNN, HARRY W. CHANG, STANLEY MIELER, WILLIAM F. SMIDDY, WILLIAM E. |
description | To report giant retinal tear and retinal detachment as a complication of attempted removal of intravitreal lens fragments at the time of cataract surgery and to evaluate the anatomic and visual acuity outcomes of pars plana vitrectomy and retinal reattachment surgery.
Retrospectively, 10 patients with giant retinal tear, retinal detachment, and intravitreal lens fragments in 10 eyes were reviewed.
In 10 eyes, retrieval of intravitreal lens fragments using the limbal approach by deep vitrectomy, copious vitreous cavity irrigation, or deep vitreous cavity phacoemulsification had been attempted by the anterior segment surgeon at the time of cataract surgery in each patient. The average interval from cataract surgery to the initial vitreoretinal consultation was 8 days. Each of the 10 eyes had a giant retinal tear involving the inferior retina: in four eyes, of between 90 degrees and 180 degrees; in four, equal to 180 degrees; and in two, of greater than 180 degrees. After pars plana vitrectomy and retinal detachment repair, nine (90%) of 10 eyes had retinal reattachment, but seven patients required more than one operation. One eye had persistent retinal detachment, and one eye had corneal graft failure. Seven (70%) of the 10 eyes had best-corrected final visual acuity of 20/200 or better; three eyes had light-perception, hand-motion, and counting-fingers vision.
Aggressive attempts at intravitreal lens fragment retrieval from a limbal-based approach should be avoided because these procedures may result in serious retinal complications, such as formation of a giant retinal tear. |
doi_str_mv | 10.1016/S0002-9394(14)70788-3 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_79220738</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002939414707883</els_id><sourcerecordid>13967795</sourcerecordid><originalsourceid>FETCH-LOGICAL-c463t-37e52e7274d9f7655721c603377c4a18223ade1579a1d2ed5f104584c5dd575a3</originalsourceid><addsrcrecordid>eNqFkU2LFEEMhgtR1nH0JywUIqKH1vro6nSfZBnddWFAcNdzEavTQy39ZVX1wP57a3aGOXgRAiHJkxDel7FLKT5JIavPd0IIVTS6KT_I8iMIqOtCP2MrWUNTyLqRz9nqjLxkr2J8yGUFJVywi0ZVypSwYvONxzHxn5T8iD2_JwwcI0e-mYa59w6Tn0Y-dfwqJRrmRG1mh2mf2dy8HVPAvU-Bcr2lMfLrgLuBxhT51yX4ccc3mDCgS_xuCTsKj6_Ziw77SG9Oec1-XX-733wvtj9ubjdX28KVlU6FBjKKQEHZNh1UxoCSrhJaA7gSZa2UxpakgQZlq6g1nRSlqUtn2taAQb1m74935zD9WSgmO_joqO9xpGmJFhqlBOg6g2__AR-mJWQxolWq0SAOsWbmCLkwxRios3PwA4ZHK4U92GGf7LAHra0s7ZMdVue9y9Px5fdA7XnrpH-evzvNMTrsu4Cj8_GMKagAjMnYlyNGWbG9p2Cj8zQ6an0gl2w7-f888hc3p6V_</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>229370370</pqid></control><display><type>article</type><title>Giant Retinal Tear as a Complication of Attempted Removal of Intravitreal Lens Fragments During Cataract Surgery</title><source>ScienceDirect Journals</source><creator>AABERG, THOMAS M. ; RUBSAMEN, PATRICK E. ; FLYNN, HARRY W. ; CHANG, STANLEY ; MIELER, WILLIAM F. ; SMIDDY, WILLIAM E.</creator><creatorcontrib>AABERG, THOMAS M. ; RUBSAMEN, PATRICK E. ; FLYNN, HARRY W. ; CHANG, STANLEY ; MIELER, WILLIAM F. ; SMIDDY, WILLIAM E.</creatorcontrib><description>To report giant retinal tear and retinal detachment as a complication of attempted removal of intravitreal lens fragments at the time of cataract surgery and to evaluate the anatomic and visual acuity outcomes of pars plana vitrectomy and retinal reattachment surgery.
Retrospectively, 10 patients with giant retinal tear, retinal detachment, and intravitreal lens fragments in 10 eyes were reviewed.
In 10 eyes, retrieval of intravitreal lens fragments using the limbal approach by deep vitrectomy, copious vitreous cavity irrigation, or deep vitreous cavity phacoemulsification had been attempted by the anterior segment surgeon at the time of cataract surgery in each patient. The average interval from cataract surgery to the initial vitreoretinal consultation was 8 days. Each of the 10 eyes had a giant retinal tear involving the inferior retina: in four eyes, of between 90 degrees and 180 degrees; in four, equal to 180 degrees; and in two, of greater than 180 degrees. After pars plana vitrectomy and retinal detachment repair, nine (90%) of 10 eyes had retinal reattachment, but seven patients required more than one operation. One eye had persistent retinal detachment, and one eye had corneal graft failure. Seven (70%) of the 10 eyes had best-corrected final visual acuity of 20/200 or better; three eyes had light-perception, hand-motion, and counting-fingers vision.
Aggressive attempts at intravitreal lens fragment retrieval from a limbal-based approach should be avoided because these procedures may result in serious retinal complications, such as formation of a giant retinal tear.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/S0002-9394(14)70788-3</identifier><identifier>PMID: 9262547</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Cataract Extraction ; Humans ; Intraoperative Complications ; Lens Subluxation - etiology ; Lens Subluxation - surgery ; Lens, Crystalline - surgery ; Medical sciences ; Middle Aged ; Phacoemulsification ; Postoperative Complications ; Reoperation ; Retinal Detachment - etiology ; Retinal Detachment - surgery ; Retinal Perforations - etiology ; Retinal Perforations - surgery ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the eye and orbit ; Therapeutic Irrigation ; Visual Acuity ; Vitrectomy ; Vitreous Body - surgery</subject><ispartof>American journal of ophthalmology, 1997-08, Vol.124 (2), p.222-226</ispartof><rights>1997 Elsevier Inc.</rights><rights>1997 INIST-CNRS</rights><rights>Copyright Ophthalmic Publishing Company Aug 1997</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c463t-37e52e7274d9f7655721c603377c4a18223ade1579a1d2ed5f104584c5dd575a3</citedby><cites>FETCH-LOGICAL-c463t-37e52e7274d9f7655721c603377c4a18223ade1579a1d2ed5f104584c5dd575a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2767755$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9262547$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>AABERG, THOMAS M.</creatorcontrib><creatorcontrib>RUBSAMEN, PATRICK E.</creatorcontrib><creatorcontrib>FLYNN, HARRY W.</creatorcontrib><creatorcontrib>CHANG, STANLEY</creatorcontrib><creatorcontrib>MIELER, WILLIAM F.</creatorcontrib><creatorcontrib>SMIDDY, WILLIAM E.</creatorcontrib><title>Giant Retinal Tear as a Complication of Attempted Removal of Intravitreal Lens Fragments During Cataract Surgery</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><description>To report giant retinal tear and retinal detachment as a complication of attempted removal of intravitreal lens fragments at the time of cataract surgery and to evaluate the anatomic and visual acuity outcomes of pars plana vitrectomy and retinal reattachment surgery.
Retrospectively, 10 patients with giant retinal tear, retinal detachment, and intravitreal lens fragments in 10 eyes were reviewed.
In 10 eyes, retrieval of intravitreal lens fragments using the limbal approach by deep vitrectomy, copious vitreous cavity irrigation, or deep vitreous cavity phacoemulsification had been attempted by the anterior segment surgeon at the time of cataract surgery in each patient. The average interval from cataract surgery to the initial vitreoretinal consultation was 8 days. Each of the 10 eyes had a giant retinal tear involving the inferior retina: in four eyes, of between 90 degrees and 180 degrees; in four, equal to 180 degrees; and in two, of greater than 180 degrees. After pars plana vitrectomy and retinal detachment repair, nine (90%) of 10 eyes had retinal reattachment, but seven patients required more than one operation. One eye had persistent retinal detachment, and one eye had corneal graft failure. Seven (70%) of the 10 eyes had best-corrected final visual acuity of 20/200 or better; three eyes had light-perception, hand-motion, and counting-fingers vision.
Aggressive attempts at intravitreal lens fragment retrieval from a limbal-based approach should be avoided because these procedures may result in serious retinal complications, such as formation of a giant retinal tear.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cataract Extraction</subject><subject>Humans</subject><subject>Intraoperative Complications</subject><subject>Lens Subluxation - etiology</subject><subject>Lens Subluxation - surgery</subject><subject>Lens, Crystalline - surgery</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Phacoemulsification</subject><subject>Postoperative Complications</subject><subject>Reoperation</subject><subject>Retinal Detachment - etiology</subject><subject>Retinal Detachment - surgery</subject><subject>Retinal Perforations - etiology</subject><subject>Retinal Perforations - surgery</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Therapeutic Irrigation</subject><subject>Visual Acuity</subject><subject>Vitrectomy</subject><subject>Vitreous Body - surgery</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><recordid>eNqFkU2LFEEMhgtR1nH0JywUIqKH1vro6nSfZBnddWFAcNdzEavTQy39ZVX1wP57a3aGOXgRAiHJkxDel7FLKT5JIavPd0IIVTS6KT_I8iMIqOtCP2MrWUNTyLqRz9nqjLxkr2J8yGUFJVywi0ZVypSwYvONxzHxn5T8iD2_JwwcI0e-mYa59w6Tn0Y-dfwqJRrmRG1mh2mf2dy8HVPAvU-Bcr2lMfLrgLuBxhT51yX4ccc3mDCgS_xuCTsKj6_Ziw77SG9Oec1-XX-733wvtj9ubjdX28KVlU6FBjKKQEHZNh1UxoCSrhJaA7gSZa2UxpakgQZlq6g1nRSlqUtn2taAQb1m74935zD9WSgmO_joqO9xpGmJFhqlBOg6g2__AR-mJWQxolWq0SAOsWbmCLkwxRios3PwA4ZHK4U92GGf7LAHra0s7ZMdVue9y9Px5fdA7XnrpH-evzvNMTrsu4Cj8_GMKagAjMnYlyNGWbG9p2Cj8zQ6an0gl2w7-f888hc3p6V_</recordid><startdate>19970801</startdate><enddate>19970801</enddate><creator>AABERG, THOMAS M.</creator><creator>RUBSAMEN, PATRICK E.</creator><creator>FLYNN, HARRY W.</creator><creator>CHANG, STANLEY</creator><creator>MIELER, WILLIAM F.</creator><creator>SMIDDY, WILLIAM E.</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>19970801</creationdate><title>Giant Retinal Tear as a Complication of Attempted Removal of Intravitreal Lens Fragments During Cataract Surgery</title><author>AABERG, THOMAS M. ; RUBSAMEN, PATRICK E. ; FLYNN, HARRY W. ; CHANG, STANLEY ; MIELER, WILLIAM F. ; SMIDDY, WILLIAM E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-37e52e7274d9f7655721c603377c4a18223ade1579a1d2ed5f104584c5dd575a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cataract Extraction</topic><topic>Humans</topic><topic>Intraoperative Complications</topic><topic>Lens Subluxation - etiology</topic><topic>Lens Subluxation - surgery</topic><topic>Lens, Crystalline - surgery</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Phacoemulsification</topic><topic>Postoperative Complications</topic><topic>Reoperation</topic><topic>Retinal Detachment - etiology</topic><topic>Retinal Detachment - surgery</topic><topic>Retinal Perforations - etiology</topic><topic>Retinal Perforations - surgery</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Therapeutic Irrigation</topic><topic>Visual Acuity</topic><topic>Vitrectomy</topic><topic>Vitreous Body - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>AABERG, THOMAS M.</creatorcontrib><creatorcontrib>RUBSAMEN, PATRICK E.</creatorcontrib><creatorcontrib>FLYNN, HARRY W.</creatorcontrib><creatorcontrib>CHANG, STANLEY</creatorcontrib><creatorcontrib>MIELER, WILLIAM F.</creatorcontrib><creatorcontrib>SMIDDY, WILLIAM E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>AABERG, THOMAS M.</au><au>RUBSAMEN, PATRICK E.</au><au>FLYNN, HARRY W.</au><au>CHANG, STANLEY</au><au>MIELER, WILLIAM F.</au><au>SMIDDY, WILLIAM E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Giant Retinal Tear as a Complication of Attempted Removal of Intravitreal Lens Fragments During Cataract Surgery</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>1997-08-01</date><risdate>1997</risdate><volume>124</volume><issue>2</issue><spage>222</spage><epage>226</epage><pages>222-226</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>To report giant retinal tear and retinal detachment as a complication of attempted removal of intravitreal lens fragments at the time of cataract surgery and to evaluate the anatomic and visual acuity outcomes of pars plana vitrectomy and retinal reattachment surgery.
Retrospectively, 10 patients with giant retinal tear, retinal detachment, and intravitreal lens fragments in 10 eyes were reviewed.
In 10 eyes, retrieval of intravitreal lens fragments using the limbal approach by deep vitrectomy, copious vitreous cavity irrigation, or deep vitreous cavity phacoemulsification had been attempted by the anterior segment surgeon at the time of cataract surgery in each patient. The average interval from cataract surgery to the initial vitreoretinal consultation was 8 days. Each of the 10 eyes had a giant retinal tear involving the inferior retina: in four eyes, of between 90 degrees and 180 degrees; in four, equal to 180 degrees; and in two, of greater than 180 degrees. After pars plana vitrectomy and retinal detachment repair, nine (90%) of 10 eyes had retinal reattachment, but seven patients required more than one operation. One eye had persistent retinal detachment, and one eye had corneal graft failure. Seven (70%) of the 10 eyes had best-corrected final visual acuity of 20/200 or better; three eyes had light-perception, hand-motion, and counting-fingers vision.
Aggressive attempts at intravitreal lens fragment retrieval from a limbal-based approach should be avoided because these procedures may result in serious retinal complications, such as formation of a giant retinal tear.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9262547</pmid><doi>10.1016/S0002-9394(14)70788-3</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0002-9394 |
ispartof | American journal of ophthalmology, 1997-08, Vol.124 (2), p.222-226 |
issn | 0002-9394 1879-1891 |
language | eng |
recordid | cdi_proquest_miscellaneous_79220738 |
source | ScienceDirect Journals |
subjects | Aged Aged, 80 and over Biological and medical sciences Cataract Extraction Humans Intraoperative Complications Lens Subluxation - etiology Lens Subluxation - surgery Lens, Crystalline - surgery Medical sciences Middle Aged Phacoemulsification Postoperative Complications Reoperation Retinal Detachment - etiology Retinal Detachment - surgery Retinal Perforations - etiology Retinal Perforations - surgery Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Therapeutic Irrigation Visual Acuity Vitrectomy Vitreous Body - surgery |
title | Giant Retinal Tear as a Complication of Attempted Removal of Intravitreal Lens Fragments During Cataract Surgery |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T00%3A58%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Giant%20Retinal%20Tear%20as%20a%20Complication%20of%20Attempted%20Removal%20of%20Intravitreal%20Lens%20Fragments%20During%20Cataract%20Surgery&rft.jtitle=American%20journal%20of%20ophthalmology&rft.au=AABERG,%20THOMAS%20M.&rft.date=1997-08-01&rft.volume=124&rft.issue=2&rft.spage=222&rft.epage=226&rft.pages=222-226&rft.issn=0002-9394&rft.eissn=1879-1891&rft.coden=AJOPAA&rft_id=info:doi/10.1016/S0002-9394(14)70788-3&rft_dat=%3Cproquest_cross%3E13967795%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c463t-37e52e7274d9f7655721c603377c4a18223ade1579a1d2ed5f104584c5dd575a3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=229370370&rft_id=info:pmid/9262547&rfr_iscdi=true |