The Usage of Anterior Chamber Maintainer with Pars Plana Vitrectomy in the Extraction of Dislocated Nucleus and Intraocular Lens

Abstract

Objective: To evaluate the technique and complications of the usage of anterior chamber maintainer (ACM) with pars plana vitrectomy (PPV) in the removal of dislocated intraocular lens (IOL) and nucleus. Materials and Method: The medical and surgical records of the eyes with nucleus and IOL dislocation into the vitreous which underwent surgery were inspected retrospectively. Records were divided into two groups. Group 1 (26 eyes) was included that the patients undergone three ports standard PPV for the removal of nucleus and IOL, while Group 2 (23 eyes) was included the patients which undergone the removal of nucleus and IOL using two ports PPV and an ACM for infusion. The rates of the complication, surgical techniques and surgery times were compared between two groups. Results: The mean follow-up time was 7,2±1.4 months (range, 4 to 17 months). The mean patient age was 72,23±7.6 (range, 64 to 80 years) in Group 1 and 71,30±7.3 (range, 60 to 81 years) in Group 2 and there was no difference among the two groups (p>0.05). Anterior chamber intraocular lens (IOL) in 9 (18.37%) cases and posterior chamber IOL in 31 (63.26%) cases were implanted. The remaining 9 (18.37%) cases could not implant IOL, and these cases were rehabilitated with contact lenses. The complication rate between two groups was no significantly different (p>0.05). Mean surgery time in PPV with ACM infusion was statistically lesser than that of standard three-port PPV (p=0.026). Conclusion: Removal of dislocated nucleus and IOL with ACM technique and two ports PPV seems as an easy, safe and rapid procedure. Key words: Intraocular Lens; Lens; Vitrectomy; Anterior Chamber Maintainer.

Keywords

• Intraocular Lens; Lens; Vitrectomy; Anterior Chamber Maintainer.

Vitreusa Disloke Nükleus ve Göziçi Lensinin Çıkarılmasında Pars Plana Vitrektomi ile Birlikte Ön Kamara Koruyucunun Kullanımı

Öz

Amaç: Vitreusa disloke olmuş nükleus ve göziçi lensi (GİL)'nin çıkarılmasında pars plana vitrektomi (PPV) ile birlikte ön kamara koruyucu (ÖKK) kullanımının teknik ve komplikasyonlarını değerlendirmek. Gereç ve yöntem: Vitreusa disloke olmuş nükleus ve GİL nedeniyle cerrahi tedavi yapılan toplam 49 hastanın 49 gözüne ait tıbbi ve cerrahi kayıtlar geriye dönük olarak incelendi. Kayıtlar iki gruba ayrıldı. Grup 1 (26 göz) nükleus veya GİL'nin çıkarımında standart üç girişli PPV uygulanan hastaları, Grup 2 ise (23 göz) iki girişli PPV ile birlikte infüzyon için ÖKK kullanılarak nukleus veya GİL'leri çıkarılan hastaları kapsadı. Komplikasyon oranları, cerrahi teknik ve cerrahi süreleri iki grup arasında kıyaslandı. Bulgular: Ortalama takip süresi 7,2±1.4 ay (4 ile 17 ay arası) idi. Ortalama yaşlar Grup 1'de 72,23±7.6 (64 ile 80 yıl arasında), Grup 2'de 71,30±7.3 (60 ile 81 yıl arasında) idi ve iki grup arasında istatistiksel farklılık göstermiyordu (p>0.05). Dokuz olguda (%18.37) ön kamara göziçi lensi (GİL), 31 olguda (%63.26) arka kamara GİL yerleştirildi. Diğer 9 olguda ise (%18.37) GİL yerleştirilemedi ve bu olgular kontakt lenslerle rehabilite edildi. İki grup arasındaki komplikasyon oranları arasında anlamlı bir fark yoktu (p>0.05). ÖKK infüzyonlu PPV'de ortalama cerrahi süresi standart üç girişli PPV'dekinden istatistiksel olarak daha kısaydı (p = 0.026). Sonuç: Ön kamara koruyucu tekniği ve iki girişli PPV ile, disloke olmuş nükleus ve GİL'nin çıkarımı kolay, güvenli ve hızlı bir prosedür gibi görünmektedir. Anahtar kelimeler: Göziçi Lens; Lens Nukleusu; Vitrektomi; Ön Kamara Koruyucu.

Anahtar Kelimeler

• Göziçi Lens; Lens Nukleusu; Vitrektomi; Ön Kamara Koruyucu.

Kaynakça

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