Visual results following vitreous loss and primary lens implantation

J Cataract Refract Surg. 1989 Mar;15(2):201-4. doi: 10.1016/s0886-3350(89)80011-2.


Implantation of an intraocular lens following vitreous loss at cataract surgery is a controversial decision. To address this issue, we retrospectively identified all cases performed at the University of Minnesota in the last three years that had either a posterior or an anterior chamber lens placed following anterior vitrectomy. Twenty patients had a posterior chamber lens implant; 14 had follow-up longer than six months. All these patients achieved 20/40 or better visual acuity, although one patient had a retinal detachment. Of the six patients with an anterior chamber lens implant, four achieved 20/40 or better acuity and two achieved 20/50 acuity with follow-up of six months; one patient had a retinal detachment. This review demonstrates that with a meticulous anterior vitrectomy, good visual results can be achieved, although the risk of retinal detachment is higher than in uncomplicated cases.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cataract Extraction / adverse effects*
  • Humans
  • Lenses, Intraocular*
  • Macular Edema / diagnosis
  • Macular Edema / epidemiology
  • Postoperative Complications
  • Retinal Detachment / etiology
  • Retrospective Studies
  • Visual Acuity*
  • Vitrectomy
  • Vitreous Body / injuries*