Introduction: Retained lens fragments in the anterior chamber following cataract extraction (CE) with phacoemulsification are rare but can lead to significant patient morbidity. Our study aimed to identify risk factors associated with retained lens fragments.
Methods: Patients who underwent cataract surgery and subsequently identified to have retained lens fragments in the anterior segment were included. Incidence per year, patient demographics, visual acuity, ocular biometrics, surgical technique, surgeon performing CE, and outcomes were collected retrospectively and compared to a control group.
Results: Twenty-four patients were identified with retained lens fragments, with an incidence of 0.10%. The mean age was 76 years ±6.72 (60-80) compared to 63 ±11.41 (22-86) in the control group (p
Conclusion: Increased patient age, shallow anterior chamber depth, and thick lens may be risk factors for retained lens fragments. There may be additional surgeon-specific risk factors. Phacoemulsification technique (Divide-and-Conquer versus Horizontal Chop) showed no significant difference.
cataract surgery, complications of cataract surgery, phacoemulsification, refractory corneal edema, retained lens fragments
Moshirfar M, Lewis AL, Ellis J, McCabe SE, Ronquillo YC, Hoopes PC. Anterior Chamber Retained Lens Fragments After Cataract Surgery: A Case Series and Narrative Review. Clinical Ophthalmology. 2021; 15. doi: 10.2147/OPTH.S314148.