Pars Plana Lensectomy Combined with Pars Plana Vitrectomy in Traumatic Ectopia Lentis

INTRODUCTION: The aim of the present study was to report the outcomes of pars plana lensectomy (PPL) combined with pars plana vitrectomy (PPV) in traumatic ectopia lentis performed at a tertiary eye hospital.
METHODS: Patients who underwent PPL combined with PPV for surgical management of traumatic lens subluxation/dislocation in the clinic were retrospectively evaluated. Only patients with at least 6 months follow-up were included in the study.
RESULTS: Sixteen eyes of 16 patients were included in the study. Of the total, 94% of the patients were male and 6% were female. The mean age of the patients was 41±17 years. The mean length of follow-up was 9±5 months. At presentation, 19% of the patients had intravitreal hemorrhage and 38% had retinal detachment. Preoperatively, 19% of the patients had 5/200 or better visual acuity. At the final visit, visual acuity was “hand motion” or better in all patients, and 38% of the patients had 5/200 or better visual acuity. Visual acuity was stable or improved in all patients. Anatomical success was achieved in all patients who had retinal detachment preoperatively.
DISCUSSION AND CONCLUSION: PPL combined with PPV is a safe and effective method of surgical management of traumatic ectopia lentis; however, the associated pathologies determine the final visual outcome and preoperative visual acuity is the most important prognostic factor.