ABSTRACT
BACKGROUND: The charts of 46 patients with dislocated lens particles during cataract surgery were reviewed. Forty patients had trans-pars plana vitrectomy; 5 were treated medically and one had retinal detachment repair only. MATERIAL AND METHODS: The following complications were associated with dislocated lens particles: uveitis 87%, glaucoma 66%, corneal edema 71%, retinal detachment 5%. RESULTS: The vision on the initial visit was 20/200 or worse in 85%. After vitrectomy the final vision was 20/40 or better in 58%. Visual acuity of 20/40 or better was obtained in 72% of patients who had surgery the same day; in 55% who had surgery later and in 64% with initial IOL placement. Insertion of an intraocular lens at the time of cataract surgery is not contraindicated. CONCLUSION: The best visual acuity occurred in patients who had vitrectomy the same day as cataract surgery. Small lens particles may be left in the eye. Trans-pars plana vitrectomy is a successful method of treatment of dislocated lens particles during cataract surgery.
Subject(s)
Cataract Extraction/adverse effects , Eye Diseases/epidemiology , Foreign Bodies/etiology , Vitreous Body , Aged , Corneal Edema/epidemiology , Corneal Edema/etiology , Eye Diseases/etiology , Glaucoma/epidemiology , Glaucoma/etiology , Humans , Incidence , Lenses, Intraocular , Retinal Detachment/epidemiology , Retinal Detachment/etiology , Uveitis/epidemiology , Uveitis/etiology , Visual Acuity , VitrectomyABSTRACT
Decreased vision may be the initial symptom of metastatic disease. A case of metastasis to the choroid from the lung is presented together with a discussion of metastatic disease to the eye. Differential diagnosis of metastatic lesions and malignant melanoma is explored. Epidemiology, clinical features, prognosis and treatment options are discussed.
