Post-vitrectomized eye

Post-vitrectomized eye
EyeWorld Oct, 2016


TIMING
If the patient develops a white cataract within a few weeks of the PPV: 99% an iatrogenic break of the PC=> high risk of the entire lens nucleus falling onto the retina

Wait at least 3 months after routine VT


PREOP EVALUATION

White opacities or plaques on the PC: points of weakness
Zonular instability: compare the ACD with noncontact biometry of the two eyes

INTRAOPERATIVE ADJUSTMENTS
1. Minimize the rotation of the lens
2. Remove the inner nuclear core by chopping
3. No hydrodissect
4. Low bottle height or infusion pressure
5. Large CCC

SETTING PT EXPECTATIONS
It is important to temper their expectations
**If a patient has a ERM, he may not have noticed distortions prior to cataract surgery.


Dr. Yu-Hao Lin, MD
Deputy superintendent, Brand New Eye Clinic
http://www.eyeDrLin.tw