Vitrektomize Gözlerde Katarakt Cerrahisi Sonuçlarımız

Pur po se: To evaluate the intraoperative complications and postoperative visual outcomes of phacoemulsification surgery for the\udsecondary cataract in vitrectomized eyes.\udMa te ri al and Met hod: We retrospectively evaluated 51 previously vitrectomized eyes of 51 patients who had undergone\udphacoemulsification and intraocular lens (PHACO+IOL) implantation surgery. PHACO+IOL surgery was performed in our clinic\udbetween October 2008 and May 2011. Intraoperative complications and postoperative best-corrected visual acuity (BCVA) outcomes\udwere analyzed.\udRe sults: In this study, 31 out of 51 eyes had posterior subcapsular cataract. Cataract surgery was performed after a mean of 21.39±26.4 (6-\ud120, median 10.75) months following PPV. Mean preoperative and postoperative BCVA was measured to be 1.52±0.88 logMAR and\ud0.74±0.73 logMAR, respectively. In 25 eyes which had been filled with silicon oil, mean BCVA was 1.95±0.91 logMAR preoperatively and\ud1.15±0.84 logMAR postoperatively. In 18 (35.3%) eyes which had been filled with sulfur hexafluoride tamponade, mean BCVA was\ud1.17±0.47 logMAR preoperatively and 0.38±3.6 logMAR postoperatively. Peroperative zonular dialysis with instable deep anterior chamber\udoccurred in two eyes, and posterior capsular tear occurred in one eye. Four eyes had Nd:YAG capsulotomy due to the posterior capsular opacity\udduring the follow-up period.\udDis cus si on: Despite the well-known difficulties encountered in vitrectomized eyes such as zonular weakness, increased mobility of the\udlens-iris diaphragm, posterior capsular instability and posterior capsular plaques, phacoemulsification in vitrectomized eyes proved to be\uda safe surgery, and increase in visual acuity can be achieved. (Turk J Ophthalmol 2013; 43: 23-6