2Yrd. Doç. Dr., İstanbul Bilim Üniversitesi, Göz Hastalıkları Anabilim Dalı, İstanbul - Türkiye
3Uz. Dr., Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İstanbul -Türkiye
4Doç. Dr., Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İstanbul -Türkiye
5Asist. Dr., İstanbul Bilim Üniversitesi, Göz Hastalıkları Anabilim Dalı, İstanbul - Türkiye
6Prof. Dr., Özel Sektör, Göz Hastalıkları, İstanbul, Türkiye
7Doç. Dr., İstanbul Bilim Üniversitesi, Göz Hastalıkları Anabilim Dalı, İstanbul - Türkiye Purpose: The aim of this study is to report on the incidence and management of iatrogenic cataracts caused by needle penetration of the posterior capsule during intravitreal injection.
Material and Methods: 973 phacic patients (1,646 eyes) with age-related macular degeneration who received an intravitreal anti-vascular- endothelial-growth-factor injection were included in this retrospective study. All the 8,764 intravitreal injections were performed in an offi ce setting. After the clinical appearance of cataracts, a phacoemulsifi cation operation was performed on the patients.
Results: Iatrogenic cataracts caused by posterior capsule perforation were identifi ed in three eyes of three patients. One of these three patients was injected with ranibizumab and two patients were injected with bevacizumab. Two of the patients were operated on using the phacoemulsifi cation cataract surgery whereas one patient was operated on with combined phacoemulsifi cation and pars plana vitrectomy.
Conclusion: Despite all the precautions taken and maneuvers applied during intravitreal injection, posterior segment surgery may be needed to treat complications afterwards.
Keywords : Iatrogenic cataract, intravitreal injection, traumatic cataract