alexa Combining cataract surgery with 25-gauge high-speed pars plana vitrectomy: results from a retrospective study.
Ophthalmology

Ophthalmology

Journal of Clinical & Experimental Ophthalmology

Author(s): Savastano A, Savastano MC, Barca F, Petrarchini F, Mariotti C,

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Abstract PURPOSE: To report postoperative complications in eyes that underwent 25-gauge high-speed pars plana vitrectomy (25G HS-PPV) alone or combined with phaco-vitrectomy surgery for epiretinal membrane, vitreomacular traction, or macular hole. DESIGN: Retrospective, interventional case series. PARTICIPANTS: A total of 565 eyes were included in this study of vitreoretinal surgery performed from April 2011 to June 2012 by a single surgeon. METHODS: Eyes were divided into 2 groups: group A included eyes that underwent phacoemulsification combined with 25G HS-PPV (348 eyes), and group B included pseudophakic eyes that underwent 25G HS-PPV alone (217 eyes). Follow-up was from a minimum of 4 months to a maximum of 14 months. MAIN OUTCOME MEASURES: To evaluate and statistically compare the postoperative complications of these 2 surgical groups. RESULTS: During the follow-up, retinal detachment (RD) developed in 10 eyes (1.77\%): 4 in group A and 6 in group B. Cystoid macular edema (CME) occurred in 5 eyes (0.87\%): 3 in group A and 2 in group B. In 1 eye in group A, a dislocation in the anterior chamber of the posterior chamber intraocular lens was observed (0.18\%). The statistical analysis, evaluated by the Fisher exact test, did not show a significant postoperative difference between these 2 surgical groups for RD (P = 0.19) or CME (P = 1.00). CONCLUSIONS: The combination of cataract or lens phacoemulsification with 25G HS-PPV for vitreomacular diseases did not result in an increase in postoperative complications compared with 25G HS-PPV alone performed in pseudophakic eyes. Copyright © 2014 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved. This article was published in Ophthalmology and referenced in Journal of Clinical & Experimental Ophthalmology

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