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Rohit R. Lakhanpal, MD; Garvin H. Davis, MD; Regina L. Sun, MD; Thomas A. Albini, MD; Eric R. Holz, MD

Arch Ophthalmol. 2006;124:20-23.

Objective  To assess lens clarity after 3-port lens-sparing vitrectomy for stages 4A and 4B tractional retinal detachment secondary to retinopathy of prematurity.

Methods  In a retrospective, interventional, consecutive clinical case series, 108 eyes of 102 patients who underwent lens-sparing vitrectomy for stages 4A and 4B tractional retinal detachment from February 1, 1998, through January 31, 2004, were reviewed. All procedures and follow-up examinations were performed by a single surgeon. Lens clarity was assessed at the final follow-up examination.

Results  Of the 108 eyes reviewed, 102 (94.4%) maintained clear lenses at the final follow-up examination, which ranged from 6 to 48 months (mean, 32 months) after the procedure. Thirty-two eyes had stage 4A detachments and 76 eyes had stage 4B.

Conclusions  Three-port lens-sparing vitrectomy may be performed with relatively low risk of cataract formation during the early postoperative period. Maintenance of a clear crystalline lens during the critical period of visual development may lead to better functional outcomes.

Author Affiliations: Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas. Dr Davis is now with the Department of Ophthalmology, The University of Texas Medical Branch, Galveston.

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