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Five cases of lens reconstruction of traumatic cataract after intravitreal injection Yurika Takeshita 1 , Isao Nakao 1 , Hiroshi Enaida 1 1Department of Ophthalmology, Saga University Faculty of Medicine pp.791-796
Published Date 2021/6/15
DOI https://doi.org/10.11477/mf.1410214019
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Abstract Purpose:We report the experience of five cases of lens reconstruction for traumatic cataract after intravitreal injection of anti-vascular endothelial growth factor(VEGF)agents.

Cases:Five cases of traumatic cataract and posterior capsule rupture caused by intravitreal injection of anti-VEGF agents, from 2015 to 2019, at Saga University Ophthalmology Department.

Results:Posterior capsule rupture was evident preoperatively in three cases, and was confirmed intraoperatively in the remaining two. In one case of mature cataract, the lens nucleus was dislocated after hydrodissection, and in the three cases in which hydrodissection was not performed, lens nucleus dislocation was not observed. In the case of lens nucleus dislocation and in two cases of vitreous prolapse into the anterior chamber, simultaneous vitrectomy was performed. Postoperatively, one of three patients who underwent anterior vitrectomy developed proliferative vitreoretinopathy. Two patients had a poor response to intravitreal injection of anti-VEGF agents, which was combined with photodynamic therapy and subtenon injection of triamcinolone acetonide(TA). For the two patients who did not undergo vitrectomy, intravitreal injection of anti-VEGF agents or subtenon injection of TA was continued.

Conclusion:Lens reconstruction without vitrectomy is possible in cases of posterior capsule rupture after vitreous injection with careful intraoperative attention. Vitrectomy may affect the postoperative course and subsequent course of the primary disease, and it is advisable to end the procedure with lens reconstruction alone, whenever possible.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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