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Combined surgery (phacovitrectomy)
Author(s) -
BERROD JP,
HUBERT I
Publication year - 2008
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2008.5215.x
Subject(s) - medicine , vitrectomy , phacoemulsification , epiretinal membrane , ophthalmology , retinal detachment , macular edema , macular hole , visual acuity , retinal tear , surgery , retinal
Purpose To review the results and complications of combined phacoemulsification and vitrectomy in phakic patients. Methods Retrospective review of 412 consecutive phakic patients who underwent phacoemulsification and vitrectomy for primary rhegmatogenous retinal detachment (RRD) (71), stages 2 to 4 full thickness macular holes (FTMH) (86), idiopathic epiretinal membrane (ERM) (237), diabetic macular edema (DME) (18) . Results Lens opacity was absent or mild in 85% of patients. Reattachment rates for primary RRD after one procedure were 86% and final reattachment rates were 95% . Macular hole closure rate was 95% for holes under 500 microns. There was significant improvement in the median logMAR visual acuity from 1.6 preoperatively to 0.48 postoperatively for the retinal detachment patients ,from 0,59 preoperatively to 0,28 for the idiopathic epiretinal membrane , from 0,93preoperatively to 0,4 in full thickness macular holes and from 0,96 to 0,60postoperatively in diabetic macular edema. Postoperative complications included fibrinous uveitis (2%), IOL/iris capture secondary to gas overfill (1.1%), and posterior capsule opacification (8%). Conclusion Combined phacoemulsification and vitrectomy is a safe and desirable option in the management of phakic patients with vitreoretinal pathologies that warrant vitreous surgery, even in the absence of significant lens opacity.