Comparison between Combined Surgery and Sequential Surgery in Performing Phacoemulsification, Pars Plana Vitrectomy, and IOL Implantation in non-diabetic Patients.
- Author:
Tae Young CHUNG
1
;
Hum CHUNG
;
Jin Hak LEE
Author Information
1. Department of Ophthalmology, Seoul National University College of Medicine, Korea. jjhlee@plaza.snu.ac.kr
- Publication Type:Original Article
- Keywords:
Combined surgery;
IOL implantation;
Pars plana vitrectomy;
Phacoemulsification;
Sequential surgery
- MeSH:
Anterior Chamber;
Fibrin;
Humans;
Hyphema;
Outcome Assessment (Health Care);
Phacoemulsification*;
Postoperative Complications;
Retinal Detachment;
Retrospective Studies;
Rupture;
Visual Acuity;
Vitrectomy*;
Vitreous Hemorrhage
- From:Journal of the Korean Ophthalmological Society
2002;43(5):814-818
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the effectiveness and safety of combined phacoemulsification, pars plana vitrectomy and IOL implantation in non-diabetic patients, and to compare the clinical results with that of sequential surgery. METHODS: The results of combined phacoemulsification, pars plana vitrectomy and IOL implantation in 15 patients (15 eyes) were retrospectively analyzed. Major outcome measures were pre-and postoperative best-corrected visual acuity (BCVA), postoperative BCVA 0.5 or better, and postoperative complications. Comparison between the combined surgery in 12 eyes and sequential surgery in 9 eyes were also analyzed for the same outcome measures. RESULTS: Of the 15 eyes postoperative visual acuity improved in 14 eyes (93.3%), and BCVA 0.5 or better was achieved in 6 eyes (40.0%). Of the 15 eyes postoperative complications consisted of transient IOP increase in 8 eyes (53.3%), hyphema in 4 eyes (26.7%), retinal detachment in 3 eyes (20.0%), vitreous hemorrhage in 2 eyes (13.3%), anterior chamber fibrin exudation in 2 eyes (13.3) and posterior capsular rupture in 2 eyes (13.3%). The difference in complications between the combined surgery group and sequential surgery group were not statistically significant. CONCLUSION: Combined surgery in selected patients is a safe and effective approach, and the outcome is comparable to sequential surgery.
