After-Cataract Following Pars Plana Lensectomy and PCL Implantation.

Yi, Won Mo; Yoo, Jin Seong

Original Article

Journal of the Korean Ophthalmological Society 1999;40(2):445-451.
Published online February 1, 1999.

After-Cataract Following Pars Plana Lensectomy and PCL Implantation.

Won Mo Yi, Jin Seong Yoo

Department of Ophthalmology, Kangnam St. Marys Hospital, Catholic University Medical College.

유리체절제술시 모양체평면부를 통한 수정체제거 및 인공수정체삽입술 후에 발생한 후발성 백내장의 임상 고찰

유진성(Jin Sung Yoo),이원모(Won Mo Yi)

Abstract

We evaluated after-cataract, capsular opacification, following combined lens removal with phacoemulsification or pars plana lensectomy, pars plana vitrectomy and primary or secondary IOL implantation on 34 eyes followed up more than 3 years.For the lens removal 23 eyes had pars plana lensectomy ad 11 eyes phacoemulsification. Nd-YAG capsulotomy is needed on 8/34 eyes(25.5%). Nd-YAG capsulotomy was performed on 3/23 eyes(13%) of pars plana lensectomy and on 5/11 eyes(45.5%) of phacoemulsification. Nd-YAG capsulotomy was performed to 7/22 eyes(31.8%) of primary IOL implantation and 1/12 eyes(8.3%) of secondary IOL implantation. Most patients had systemic vascular disease such as diabetes or hypertension.In conclusion, combined pars plana lensectomy, pars plana vitrectomy and secondary IOL implantation was the least incidence of after-cataract and side effects, so this procedure was thought to be recommended for vitreoretinal surgery.

Key Words: Pars plana lensectomy;Pars plana vitrectomy;After-cataract;Capsular opacification