Scientific programm: Abstract

4th scientific session: Follow ups on Strategies

32. Surgical Management of Retinal Detachment
      in Aphakic Eyes after Complicated Cataract Surgery

Robert Rejdak¹, D. Haszcz¹, T. Zarnowski¹,
A. Jünemann²
(¹Lublin; ²Erlangen)

To propose the management of retinal detachment in eyes after complicated cataract surgery.
A 76-year old woman was referred due to total retinal detachment and PVR reaction following cataract surgery. Cataract surgery was done elsewhere 4 months ago. The patient presented with dislocated IOL into the vitreous, anterior and posterior capsular defects, remained part of the nucleus attached to the corneal endothelium and total retinal detachment with PVR reaction. The different steps of the surgery were as followed: encircling band, removal of the remained nucleus, extraction of the IOL and the remnants of the capsule, chromovitrectomy, membrane peeling, PFCL, secondary IOL implantation with scleral fixation, Ando iridectomy, filling of the anterior chamber with viscoelastics, and silicone oil tamponade. Visual acuity postoperatively was 20/400.
In case of management of we propose IOL implantation sulcus implantation, scleral fixation or iris claw IOL in combination with vitreoretinal procedures as a treatment of retinal detachment in afakic eyes after complicated cataract surgery.

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