Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Nov 8;12(22):6981.
doi: 10.3390/jcm12226981.

Visual Outcomes of Traumatic Lens Dislocations and Subluxations Managed by Pars Plana Vitrectomy and Lensectomy

Mădălina-Claudia Hapca  1   2 , George-Adrian Muntean  1 , Iulia-Andrada Nemeș-Drăgan  2   3 , Ștefan Cristian Vesa  4 , Simona-Delia Nicoară  1   2   3
Affiliations

Visual Outcomes of Traumatic Lens Dislocations and Subluxations Managed by Pars Plana Vitrectomy and Lensectomy

Mădălina-Claudia Hapca et al. J Clin Med. .

Abstract

Aim: The aim of this study was to evaluate the visual outcome of lens dislocation and subluxation managed by pars plana vitrectomy (PPV) and lensectomy in patients with open (OGIs) or closed globe injuries (CGIs).

Methods: Medical records of 70 consecutive patients treated by PPV and lensectomy over a period of 11 years (1 January 2010-31 December 2020) were retrospectively reviewed. We collected demographic data, best corrected visual acuity (BCVA) using a Snellen Chart pre- and postoperatively, associated ocular injuries and treatment strategy. Visual outcome was evaluated according to the final BCVA which was defined as poor <0.1 or good ≥0.1.

Results: The mean age was 57.9 ± 17.6 years. CGIs were present in 49 (70.0%) cases and open OGIs in 21 (30.0%) cases. The dislocation mechanism was zonular lysis in 59 cases (84.3%) and capsular rupture in 11 cases (15.7%). The intraocular lens implant (IOL) was sutured to the sclera in 51 (72.9%) cases or positioned in the capsular bag or in the sulcus in 3 (4.3%) cases and 1 (1.4%) case, respectively, whereas 15 (21.4%) patients remained aphakic. A good BCVA ≥ 0.1 was achieved in 45.71% of the eyes. The presence of retinal detachment (RD) (p = 0.014), iridodonesis (p = 0.011) and initial BCVA (p = 0.000) achieved statistical significance in predicting visual outcome. After treatment, 45.71% of patients achieved a final BCVA ≥ 0.1.

Conclusion: RD, iridodonesis and initial BCVA were risk factors for poor visual outcome in our series.

Keywords: eye trauma; lens dislocation; pars plana lensectomy; pars plana vitrectomy; subluxation.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Extraction of lens fragments luxated in the vitreous cavity with the vitrector.
Figure 2
Figure 2
Rigid lens implant designed for being sutured at the sclera.
Figure 3
Figure 3
Insertion of the IOL.
Figure 4
Figure 4
Scleral suturing of the IOL.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Klopfer J., Tielsch J.M., Vitale S., See L.C., Canner J.K. Ocular Trauma in the United States: Eye Injuries Resulting in Hospitalization, 1984 through 1987. Arch. Ophthalmol. 1992;110:838–842. doi: 10.1001/archopht.1992.01080180110037. - DOI - PubMed
    1. Négrel A.D., Thylefors B. The Global Impact of Eye Injuries. Ophthalmic Epidemiol. 1998;5:143–169. doi: 10.1076/opep.5.3.143.8364. - DOI - PubMed
    1. Bord S.P., Linden J. Trauma to the Globe and Orbit. Emerg. Med. Clin. N. Am. 2008;26:97–123. doi: 10.1016/j.emc.2007.11.006. - DOI - PubMed
    1. Salehi-Had H., Turalba A. Management of Traumaticcrystalline Lens Subluxation and Dislocation. Int. Ophthalmol. Clin. 2010;50:167–179. doi: 10.1097/IIO.0b013e3181c567de. - DOI - PubMed
    1. Kuhn F., Morris R., Witherspoon C.D., Mann L. Blunt-Force Injuries Involving the Posterior Segment. Retin. Physician. 2007;20:4.

LinkOut - more resources