{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T14:14:58Z","timestamp":1715868898003},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose To compare the efficacy and safety of core vitrectomy and pars plana vitrectomy for lens exchange in patients with intraocular lens dislocation.<\/jats:p><jats:p>\n          Methods This is a retrospective study conducted at one eye center in Zurich, Switzerland. We reviewed 124 eyes with dislocated intraocular lens undergoing lens exchange carried out\n\t\t\t\t\tby two surgeons between 03\/2016 and 12\/2019 (45 months). Intraocular pressure (IOP) and best-corrected visual acuity (BCVA) were analyzed preoperatively and at 5 time points up to 12 months\n\t\t\t\t\tafter lens exchange. Data on postoperative complications were collected.<\/jats:p><jats:p>\n          Results There were 124 eyes with intraocular lens dislocation that were referred for lens exchange. Of these eyes, 59 (48%) received core vitrectomy and 65 (52%) received pars plana\n\t\t\t\t\tvitrectomy with lens exchange. Glaucoma was more frequent in the core vitrectomy group (78%) than in the pars plana vitrectomy group (32%; p\u2009&lt;\u20090.001). In the core vitrectomy group, 19\n\t\t\t\t\t(32%) eyes presented with visual impairment, 17\u00a0(29%) eyes presented with high IOP alone, and 23 (39%) eyes presented with both at the same time prior to surgery. Mean preoperative IOP in\n\t\t\t\t\tthe core vitrectomy group decreased from 22.4\u2009\u00b1\u20099.2\u2009mmHg to 14.7\u2009\u00b1\u20093.1\u2009mmHg 12\u00a0months after surgery (p\u2009&lt;\u20090.001). Mean BCVA changed from 0.40\u2009\u00b1\u20090.41\u2009logMAR preoperatively to\n\t\t\t\t\t0.32\u2009\u00b1\u20090.37\u2009logMAR at 12 months postoperatively (p\u2009=\u20090.598) in the core vitrectomy group. In the pars plana vitrectomy group, 44\u00a0(68%) eyes presented with a change in vision, 7 (11%) eyes\n\t\t\t\t\tpresented with high IOP alone, and 14 (22%) eyes presented with pressure elevation and visual impairment at the visit prior to surgery. Mean preoperative IOP in the pars plana vitrectomy\n\t\t\t\t\tgroup decreased from 20.9\u2009\u00b1\u20098.3\u2009mmHg to 15.1\u2009\u00b1\u20093.5\u2009mmHg at 12 months after lens exchange (p\u2009&lt;\u20090.001). Mean BCVA in the pars plana vitrectomy group was 0.57\u2009\u00b1\u20090.62\u2009logMAR preoperatively\n\t\t\t\t\tand 0.22\u2009\u00b1\u20090.35\u2009logMAR 12\u00a0months postoperatively (p\u2009&lt;\u20090.001). Postoperative pressure decompensation occurred more frequently in the core vitrectomy group (20%) than in the pars plana\n\t\t\t\t\tvitrectomy group (6%; p\u2009=\u20090.018). There was no statistically significant difference for postoperative cystoid macular edema (p\u2009=\u20090.055), anisometropia (p\u2009=\u20090.986), and high astigmatism\n\t\t\t\t\t(p\u2009=\u20090.362).<\/jats:p><jats:p>\n          Conclusion Core vitrectomy and pars plana vitrectomy with lens exchange are equally efficient and safe in the management of intraocular lens dislocation.<\/jats:p>","DOI":"10.1055\/a-1788-3967","type":"journal-article","created":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T22:36:36Z","timestamp":1651012596000},"page":"484-489","source":"Crossref","is-referenced-by-count":1,"title":["Two Surgical Approaches for Intraocular Lens Dislocation: Pars Plana Vitrectomy Versus Core Vitrectomy with Lens Exchange"],"prefix":"10.1055","volume":"239","author":[{"given":"Angelika","family":"Schuknecht","sequence":"additional","affiliation":[{"name":"Talacker Augen Zentrum Z\u00fcrich (TAZZ), Z\u00fcrich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josephine","family":"Wachtl","sequence":"additional","affiliation":[{"name":"Talacker Augen Zentrum Z\u00fcrich (TAZZ), Z\u00fcrich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Fleischhauer","sequence":"additional","affiliation":[{"name":"Talacker Augen Zentrum Z\u00fcrich (TAZZ), Z\u00fcrich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Kniestedt","sequence":"additional","affiliation":[{"name":"Talacker Augen Zentrum Z\u00fcrich (TAZZ), Z\u00fcrich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,4,26]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2315","DOI":"10.1016\/j.ophtha.2009.05.015","article-title":"Incidence of dislocation of intraocular lenses and pseudophakodonesis 10 years after cataract 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Surg"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1270","DOI":"10.1016\/j.jcrs.2010.01.035","article-title":"Management of late spontaneous in-the-bag intraocular lens dislocation: Retrospective analysis of 45 cases","volume":"36","author":"R Lorente","year":"2010","journal-title":"J Cataract Refract Surg"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"4747","DOI":"10.1167\/iovs.17-22723","article-title":"Astigmatism and Refractive Outcome After Late In-The-Bag Intraocular Lens Dislocation Surgery: A Randomized Clinical Trial","volume":"58","author":"O Kristianslund","year":"2017","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1016\/j.ajo.2003.10.037","article-title":"In-the-bag intraocular lens dislocation","volume":"137","author":"J G Gross","year":"2004","journal-title":"Am J 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Glaucoma"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"1436","DOI":"10.1016\/j.jcrs.2019.05.026","article-title":"Cystoid macular edema with prostaglandin analogue use after uneventful cataract surgery in glaucoma patients","volume":"45","author":"G Fakhraie","year":"2019","journal-title":"J Cataract Refract Surg"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"480","DOI":"10.1016\/j.ophtha.2014.09.003","article-title":"Inter-eye differences in patients with pseudoexfoliation syndrome presenting with intraocular lens dislocation","volume":"122","author":"V C Leung","year":"2015","journal-title":"Ophthalmology"}],"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1788-3967.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T22:38:48Z","timestamp":1651012728000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1788-3967"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":21,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,4,26]]},"published-print":{"date-parts":[[2022,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1788-3967","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0023-2165","1439-3999"],"issn-type":[{"value":"0023-2165","type":"print"},{"value":"1439-3999","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}