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.
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