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  Vol. 120 No. 9, September 2002 TABLE OF CONTENTS
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  Clinicopathologic Reports, Case Reports, and Small Case Series
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Delayed Luxation of a Lens Nucleus After Vitrectomy

Arch Ophthalmol. 2002;120:1212-1213.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Accidental lens damage occurs less than 1% of the time during vitrectomy for diabetic retinopathy and may necessitate concurrent lensectomy.1-2 We report an unusual late complication of pars plana vitrectomy—delayed luxation of the lens nucleus.

Report of a Case

A 52-year-old man with a 20-year history of diabetes mellitus sought treatment at the Parkland Memorial Hospital Ophthalmology Clinic, Dallas, Tex, because of redness and photophobia in the left eye for 3 days. One year previously, he underwent vitrectomy in the left eye for proliferative diabetic retinopathy complicated by nonclearing vitreous hemorrhage and neovascular glaucoma. Four months prior to the current development, he underwent a second vitrectomy in the same eye for recurrent vitreous hemorrhage. The surgeon noted no intraoperative complications, including lens touch with the instruments. On the first day after the second vitrectomy, best-corrected visual acuity was 20/400 OS, and a new posterior subcapsular cataract was noted.

On examination of the left eye, . . . [Full Text of this Article]


Comment
Corresponding author and reprints: Preston H. Blomquist, MD, Department of Ophthalmology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390-9057 (e-mail: preston.blomquist@utsouthwestern.edu).







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