Clinical Results of Combined Surgery: Pars Plana Vitrectomy, Phacoemulsification and Posterior Chamber Intraocular Lens Implantation.
- Author:
Hee Joon CHO
1
;
Young Wook CHO
Author Information
1. Department of Ophthalmology, Taegu Fatima Hospital, Korea. cho332@hanmail.net
- Publication Type:Original Article
- Keywords:
Combined Phacoemulsification-vitrectomy;
Posterior chamber intraocular lens implantation;
Visual outcome;
Complication
- MeSH:
Cataract;
Endophthalmitis;
Humans;
Intraocular Pressure;
Lens Implantation, Intraocular*;
Lenses, Intraocular*;
Macular Edema;
Outcome Assessment (Health Care);
Phacoemulsification*;
Postoperative Complications;
Rehabilitation;
Retinal Detachment;
Visual Acuity;
Vitrectomy*;
Vitreous Hemorrhage
- From:Journal of the Korean Ophthalmological Society
2002;43(2):267-273
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the clinical outcomes and complications of combined phacoemulsification and vitrectomy surgery in patients who have vitreoretinal diseases with a concomitant cataract. METHODS: Combined phacoemulsification-vitrectomy surgery was performed in 50 eyes of 45 patients who had various vitreoretinal diseases and a significant cataract that is considered to disturb the postoperative visual rehabilitation or fundus examination. Main outcome measures were visual acuity and intraoperative and postoperative complications. RESULTS: We performed combined surgery consisting of pars plana vitrectomy (PPV), phacoemulsification, and posterior chamber intraocular lens (PC-IOL) implantation. Intraocular lens were inserted in the bag with one case of exception inserted in the ciliary sulcus. Thirty-seven eyes (74%) had improved postoperative visual acuity, in 9 eyes (18%) the acuity was unchanged and 4 eyes (8%) it deteriorated. Intraocular pressure elevation, recurrent vitreous hemorrhage, macular edema, retinal detachment and endophthalmitis were considered to be clinically significant postoperative complications. CONCLUSIONS: The results of this study suggest that combined phacoemulsification-vitrectomy surgery is a viable option in the management of most posterior segment diseases in the presence of cataract.
