[Lens opacities following pars plana vitrectomy]. 1989

U Mester, and R Grewing

Lens opacities and particularly nuclear sclerosis belong to the most frequent complications after pars plana vitrectomy. Although the causative mechanism is not yet completely understood, the infusion cannula and infusion technique are likely to have important influence on the development of postoperative lens opacities. In order to reduce the flow of the infusion fluid directed to the posterior lens surface we developed a new cannula. Because of its posterior curvature and opening as well as a turbulent flow of the fluid the impairment of the posterior lens surface is diminished. To study the clinical efficacy of the new infusion cannula we examined 235 patients after pars plana vitrectomy during an observation period of 12 months. 14.7% of the total group developed progressive nuclear sclerosis. Significant cataract formation was much less frequent in eyes operated on because of macular pucker (7.3%). This is a lower incidence compared with other investigators.

UI MeSH Term Description Entries
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D002386 Cataract Partial or complete opacity on or in the lens or capsule of one or both eyes, impairing vision or causing blindness. The many kinds of cataract are classified by their morphology (size, shape, location) or etiology (cause and time of occurrence). (Dorland, 27th ed) Cataract, Membranous,Lens Opacities,Pseudoaphakia,Cataracts,Cataracts, Membranous,Lens Opacity,Membranous Cataract,Membranous Cataracts,Opacities, Lens,Opacity, Lens,Pseudoaphakias
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014821 Vitrectomy Removal of the whole or part of the vitreous body in treating endophthalmitis, diabetic retinopathy, retinal detachment, intraocular foreign bodies, and some types of glaucoma. Vitrectomies

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