Journal of Cataract & Refractive Surgery
Volume 31, Issue 11 , Pages 2147-2152, November 2005

Phacofragmentation with perfluorocarbon liquid and anterior chamber or scleral-fixated intraocular lens implantation for the management of luxated crystalline lenses

From the Department of Ophthalmology, Medical University of Lodz, Lodz, Poland

Accepted 21 April 2005.

Purpose

To present a complex surgical technique used for the management of luxated crystalline lenses and evaluate treatment results.

Setting

Department of Ophthalmology, Medical University of Lodz, Lodz, Poland.

Methods

This prospective study involved 29 consecutive patients (30 eyes) with the mean age of 60.3 years. The applied surgical technique comprised pars plana vitrectomy, perfluorocarbon liquid injection, and crystalline lens phacofragmentation in the vitreous cavity. Simultaneously, anterior chamber intraocular lenses (IOLs) were implanted in 10 eyes, and scleral-fixated posterior chamber IOLs in 20 eyes. The follow-up mean was 5.2 month (range 1 to 16 months).

Results

No complications were observed during phacofragmentation. Visual acuity improved in 22 cases and did not change in the other 8 eyes. The mean visual acuity was 0.40 ± 0.37 (SD) (range between hand movements and 1.0) preoperatively and 0.68 ± 0.34 (range 0.05 to 1.0) postoperatively. In 22 cases (73%), very good or good visual acuity (6/6 to 6/12) was achieved. There were no intraoperative complications. Postoperatively, transient hypotony was observed in 10 eyes, fibrinous reaction in the anterior chamber in 1 eye, dispersed blood in the vitreous cavity in 8 eyes, hyphema in 1 eye, corneal edema in 1 eye, vitritis in 3 cases, iris tug in 1 eye with an anterior chamber IOL, and slight dislocation of the scleral-fixated IOL in 1 case. Intraocular pressure was elevated in 11 eyes preoperatively; postoperatively, it normalized in 7 eyes without medication.

Conclusion

Phacofragmentation with perfluorocarbon liquid and IOL implantation for the management of luxated crystalline lenses was safe and effective method, providing good functional results.

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 Presented at the XXIst Congress of the European Society of cataract and Refractive Surgeons, Munich, Germany, September 2003.Supported in part by Grant No 502-11- 695 from the Medical University of Lodz.No author has a financial or proprietary interest in any materials or methods mentioned.

PII: S0886-3350(05)00688-7

doi:10.1016/j.jcrs.2005.04.039

Journal of Cataract & Refractive Surgery
Volume 31, Issue 11 , Pages 2147-2152, November 2005