Atlas of Ophthalmology

Nuclear Cataract Secondary to Uncomplicated Pars Plana Vitrectomy (Colour image, Pentacam)

晶状体 -> 眼内疾病
47 years of age, Myopia magna at OD & OS, BCVA 0.8 at OD, 0.1 at OS General medical history: Empty Ocular medical history: rhegmatogenous ablatio retinae at OS in 2011. An uncomplicated pars plana vitrectomy was performed. Main complaint: Continuous deterioration of vision at OS after surgery, no cystoid macular edema. OBJECTIVE: To report a postoperative lens complication in a patient, who underwent pars plana vitrectomy. Findings: Ophthalmoscopy and slit lamp of anterior segment showing nuclear cataract. Electronic slit lamp (Pentacam, Oculus) depicting nuclear cataract. In literature outcome was reported from 70 consecutive eyes that underwent 25-gauge pars plana vitrectomy for various indications with a minimum follow-up of 12 weeks (1). Postoperative complications included cataract progression in 42.5%, cystoid macular edema exacerbation in 7.1%, and retinal detachment in 1.4%. Postoperative cataract progression and hypotony were the most common complications. Literature: (1) Gupta OP, Weichel ED, Regillo CD, Fineman MS, Kaiser RS, Ho AC, McNamara JA, Vander JE. Postoperative complications associated with 25-gauge pars plana vitrectomy. Ophthalmic Surg Lasers Imaging.2007 Jul-Aug;38(4):270-5.

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