Outcome and Complications of Combined Phacoemulsification and 23-Gauge Pars Plana Vitrectomy
Background. With the advances in surgical tools, simultaneous removal of cataract associated with vitreoretinal disorders is gaining popularity. This combined surgery offers several advantages besides limitations. The aim of this study is to assess the outcome and complications of phacoemulsificatio...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2019/7918237 |
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| author | Selcuk Sizmaz Ebru Esen Puren Isik Burcu Cam Nihal Demircan |
| author_facet | Selcuk Sizmaz Ebru Esen Puren Isik Burcu Cam Nihal Demircan |
| author_sort | Selcuk Sizmaz |
| collection | DOAJ |
| description | Background. With the advances in surgical tools, simultaneous removal of cataract associated with vitreoretinal disorders is gaining popularity. This combined surgery offers several advantages besides limitations. The aim of this study is to assess the outcome and complications of phacoemulsification combined with pars plana vitrectomy (PPV). Patients and Methods. In this retrospective review, medical charts of patients undergoing phacovitrectomy for coexisting cataract and various vitreoretinal disorders were analyzed. Patient demographics, retinal diagnosis, visual acuities (VA) in logMAR, intraocular pressure (IOP), intraoperative and postoperative complications were assessed. Clear corneal phacoemulsification and 23-gauge transconjunctival PPV were administered in all cases. Results. Eighty-four eyes of 64 (76.2%) males and 20 (23.8%) females were enrolled. The average age of patients was 59.5 ± 13.8 (18–81). The average period of follow-up was 7.2 ± 7.5 months (1–36). The vitreoretinal diagnoses were as follows: 28 (33.3%) rhegmatogenous retinal detachment, 23 (27.4%) vitreous hemorrhage, 12 (14.3%) intraocular foreign body, 12 (14.3%) epiretinal membrane, 4 (4.8%) macular hole, 4 (4.8%) tractional retinal detachment, and 1 (1.2%) vitreomacular traction. The most common intraoperative complications were miosis and rupture of the posterior capsule (92.9% and 8.3%, respectively). In 8 (9.5%) cases, there was fibrin in the anterior chamber. Posterior synechia developed in 7 (8.3%) of cases. No severe increase in intraocular pressure was evident. Conclusion. Phacoemulsification combined with PPV is a safe and efficient way of management in cases where cataract coexists with vitreoretinal pathologies. |
| format | Article |
| id | doaj-art-664d5f2fb7d941ecaaa506330c171ae0 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-664d5f2fb7d941ecaaa506330c171ae02025-02-03T01:11:31ZengWileyJournal of Ophthalmology2090-004X2090-00582019-01-01201910.1155/2019/79182377918237Outcome and Complications of Combined Phacoemulsification and 23-Gauge Pars Plana VitrectomySelcuk Sizmaz0Ebru Esen1Puren Isik2Burcu Cam3Nihal Demircan4Cukurova University, School of Medicine, Department of Ophthalmology, Adana, TurkeyCukurova University, School of Medicine, Department of Ophthalmology, Adana, TurkeyCukurova University, School of Medicine, Department of Ophthalmology, Adana, TurkeyCukurova University, School of Medicine, Department of Ophthalmology, Adana, TurkeyCukurova University, School of Medicine, Department of Ophthalmology, Adana, TurkeyBackground. With the advances in surgical tools, simultaneous removal of cataract associated with vitreoretinal disorders is gaining popularity. This combined surgery offers several advantages besides limitations. The aim of this study is to assess the outcome and complications of phacoemulsification combined with pars plana vitrectomy (PPV). Patients and Methods. In this retrospective review, medical charts of patients undergoing phacovitrectomy for coexisting cataract and various vitreoretinal disorders were analyzed. Patient demographics, retinal diagnosis, visual acuities (VA) in logMAR, intraocular pressure (IOP), intraoperative and postoperative complications were assessed. Clear corneal phacoemulsification and 23-gauge transconjunctival PPV were administered in all cases. Results. Eighty-four eyes of 64 (76.2%) males and 20 (23.8%) females were enrolled. The average age of patients was 59.5 ± 13.8 (18–81). The average period of follow-up was 7.2 ± 7.5 months (1–36). The vitreoretinal diagnoses were as follows: 28 (33.3%) rhegmatogenous retinal detachment, 23 (27.4%) vitreous hemorrhage, 12 (14.3%) intraocular foreign body, 12 (14.3%) epiretinal membrane, 4 (4.8%) macular hole, 4 (4.8%) tractional retinal detachment, and 1 (1.2%) vitreomacular traction. The most common intraoperative complications were miosis and rupture of the posterior capsule (92.9% and 8.3%, respectively). In 8 (9.5%) cases, there was fibrin in the anterior chamber. Posterior synechia developed in 7 (8.3%) of cases. No severe increase in intraocular pressure was evident. Conclusion. Phacoemulsification combined with PPV is a safe and efficient way of management in cases where cataract coexists with vitreoretinal pathologies.http://dx.doi.org/10.1155/2019/7918237 |
| spellingShingle | Selcuk Sizmaz Ebru Esen Puren Isik Burcu Cam Nihal Demircan Outcome and Complications of Combined Phacoemulsification and 23-Gauge Pars Plana Vitrectomy Journal of Ophthalmology |
| title | Outcome and Complications of Combined Phacoemulsification and 23-Gauge Pars Plana Vitrectomy |
| title_full | Outcome and Complications of Combined Phacoemulsification and 23-Gauge Pars Plana Vitrectomy |
| title_fullStr | Outcome and Complications of Combined Phacoemulsification and 23-Gauge Pars Plana Vitrectomy |
| title_full_unstemmed | Outcome and Complications of Combined Phacoemulsification and 23-Gauge Pars Plana Vitrectomy |
| title_short | Outcome and Complications of Combined Phacoemulsification and 23-Gauge Pars Plana Vitrectomy |
| title_sort | outcome and complications of combined phacoemulsification and 23 gauge pars plana vitrectomy |
| url | http://dx.doi.org/10.1155/2019/7918237 |
| work_keys_str_mv | AT selcuksizmaz outcomeandcomplicationsofcombinedphacoemulsificationand23gaugeparsplanavitrectomy AT ebruesen outcomeandcomplicationsofcombinedphacoemulsificationand23gaugeparsplanavitrectomy AT purenisik outcomeandcomplicationsofcombinedphacoemulsificationand23gaugeparsplanavitrectomy AT burcucam outcomeandcomplicationsofcombinedphacoemulsificationand23gaugeparsplanavitrectomy AT nihaldemircan outcomeandcomplicationsofcombinedphacoemulsificationand23gaugeparsplanavitrectomy |