Vitrectomy in Lens and Glaucoma Pathologies

2021 ◽  
pp. 33-38
Keyword(s):  
Intraocular Lens ◽  
Pars Plana Vitrectomy ◽  
Industrial Development ◽  
Vitreoretinal Surgery ◽  
Crystalline Lens ◽  
Secondary Glaucoma ◽  
Posterior Segment ◽  
Common Indication ◽  
Malignant Glaucoma ◽  
Pars Plana

Pars plana vitrectomy (PPV) is currently used as an effective method in many posterior segment pathologies. Although the most common indication is retina and vitreous pathologies, PPV is also preferred in some cases associated with lens and glaucoma. In case the crystalline lens or artificial intraocular lens, which is a product of industrial development, falls into the vitreous, it is essential to remove it mostly with the PPV approach. In some types of secondary glaucoma, especially malignant glaucoma, successful results are obtained in terms of visual prognosis and complications with vitreoretinal surgery techniques.

scholarly journals Recurrent Intraocular Lens Dislocation in a Patient with Familial Ectopia Lentis

2021 ◽  
Vol 18 (9) ◽  
pp. 4545
Author(s):  
Tomasz K. Wilczyński ◽  
Alfred Niewiem ◽  
Rafał Leszczyński ◽  
Katarzyna Michalska-Małecka
Keyword(s):  
Intraocular Lens ◽  
Pars Plana Vitrectomy ◽  
Vision Loss ◽  
Silicone Oil ◽  
Single Case ◽  
Recurrent Dislocation ◽  
Ectopia Lentis ◽  
Pars Plana ◽  
The Right

A 36-year-old patient presented to the hospital with recurrent dislocation of the intraocular lens (IOL). The patient with the diagnosis of familial ectopia lentis was first operated on for crystalline lens subluxation in the left eye in 2007 and in the right eye in 2009. In both eyes, lens extraction with anterior vitrectomy and transscleral fixation of a rigid IOL was performed. In 2011, the IOL in the right eye luxated into the vitreous cavity due to ocular trauma. The patient underwent a pars plana vitrectomy with the IOL resuturation to the sclera. Seven years later, a spontaneous vision loss in the right eye was caused by a retinal detachment. The pars plana vitrectomy with silicone oil tamponade and a consequential oil removal three months later were performed in 2018. The follow-up examination revealed recurrent IOL dislocation in the same eye. Due to a history of previous suture-related complications a decision was made to remove the subluxated rigid polymethyl-methacrylate (PMMA) IOL and fixate to sclera a sutureless SOLEKO FIL SSF Carlevale lens. The purpose of this report is to present a single case of a 36-year-old patient who was presented to the hospital with recurrent dislocation of the intraocular lens. In a three-month follow-up period, a good anatomical and functional outcome was finally obtained with transscleral sutureless intraocular lens. This lens is an option worth considering especially in a young patient with a long life expectancy and physically active.

Characteristics of patients with spontaneous dislocation of in-the-bag intraocular lens after pars plana vitrectomy

2017 ◽  
Vol 61 (3) ◽  
pp. 267-270 ◽  
Author(s):  
Takayuki Koike ◽  
Takayuki Baba ◽  
Tomohiro Nizawa ◽  
Toshiyuki Oshitari ◽  
Shuichi Yamamoto
Keyword(s):  
Intraocular Lens ◽  
Pars Plana Vitrectomy ◽  
Pars Plana

Pars Plana Vitrectomy for Complications of Intraocular Lens Implantation

1977 ◽  
Vol 8 (3) ◽  
pp. 127-129
Author(s):  
Daniel M Eichenbaum ◽  
Norman S Jaffe ◽  
Henry M Clayman ◽  
David S Light
Keyword(s):  
Intraocular Lens ◽  
Pars Plana Vitrectomy ◽  
Intraocular Lens Implantation ◽  
Lens Implantation ◽  
Pars Plana

scholarly journals Sutureless 25-Gauge Pars Plana Vitrectomy Combined with Retropupillary Fixation of an Iris-Claw Intraocular Lens

2016 ◽  
Vol 7 (3) ◽  
pp. 433-439
Author(s):  
Spyridon E. Chalkiadakis ◽  
Efstratios A. Parikakis ◽  
Simon R.J. Taylor
Keyword(s):  
Intraocular Lens ◽  
Pars Plana Vitrectomy ◽  
Case Series ◽  
Visual Rehabilitation ◽  
Aesthetic Result ◽  
Viable Solution ◽  
Pars Plana ◽  
Real Challenge ◽  
Operating Surgeon ◽  
Iris Claw

Background: The surgical case of a dropped intraocular lens inside the vitreous cavity constitutes a real challenge for the operating surgeon. Herein, we describe a case series where an alternative optical rehabilitation technique for late intraocular lens-bag complex dislocation has been used. Methods: A modern vitrectomy device was used to remove the capsule with the dropped intraocular lens using sutureless 25-gauge pars plana vitrectomy. To ensure a better aesthetic result, with faster patient recovery and a reduced number of operations, the whole procedure was performed during the same operating session; an iris-claw intraocular lens for aphakia was selected for implantation. The implant was passed behind the constricted iris with the concave surface facing it. The lens was grasped with the manufacturer’s holding forceps and fixed onto the posterior surface of the iris using the special enclavation needles. Results: We have operated 12 eyes in two different clinical centres successfully, with minimal intra- and/or postoperative complications. Conclusion: We believe that this is a viable solution for the visual rehabilitation of patients, who would otherwise need more than one operation for a lens exchange.

scholarly journals Delayed diagnosis of homocystinuria presenting as bilateral congenital lens subluxation

2017 ◽  
Vol 145 (9-10) ◽  
pp. 513-515
Author(s):  
Marija Jelic-Vukovic ◽  
Suzana Matic ◽  
Josip Barac ◽  
Tomislav Novinscak ◽  
Mirna Belovari ◽  
...  
Keyword(s):  
Intraocular Lens ◽  
Delayed Diagnosis ◽  
Vitreoretinal Surgery ◽  
Ectopia Lentis ◽  
Lens Subluxation ◽  
Ocular Manifestations ◽  
Methionine Restriction ◽  
Sulcus Fixation ◽  
Pars Plana Lensectomy ◽  
Pars Plana

Introduction. Homocystinuria is an autosomal recessively inherited defect leading to hyperhomocysteinemia and associated with ocular manifestations, mainly myopia and ectopia lentis. Case outline. A 26-year-old male with secondary glaucoma due to bilateral lens subluxation was admitted to the Department of vitreoretinal surgery. Horizontal nystagmus, bilateral lens subluxation, and bilateral amblyopia were first discovered at the age of three years. Preoperative laboratory workup revealed elevated levels of homocysteine. Bilateral pars plana lensectomy and vitrectomy followed by a sulcus fixation of the intraocular lens (ALCON MA60 Acrysof IOL) were performed. The patient was prescribed folic acid, methionine, and pyridoxine, and was urged to maintain a methionine-low diet. After a bilateral lensectomy and sulcus fixation of the intraocular lens and a methionine restriction therapy combined with vitamin B6, B9, and B12 supplementation, his condition improved greatly. Conclusion. In this report of a rare case we emphasize the importance of examining differential diagnoses of lens subluxation, since early intervention can prevent serious complications.

Combined 27-Gauge Pars Plana Vitrectomy and Scleral Fixation of an Akreos AO60 Intraocular Lens Using Gore-Tex Suture

Retina ◽  
2016 ◽  
Vol 36 (8) ◽  
pp. 1602-1604 ◽  
Author(s):  
Mohammed Ali Khan ◽  
Ehsan Rahimy ◽  
Omesh P. Gupta ◽  
Jason Hsu
Keyword(s):  
Intraocular Lens ◽  
Pars Plana Vitrectomy ◽  
Scleral Fixation ◽  
Pars Plana
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