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Combined Surgical Approach of Pars Plana Vitrectomy, Phacoemulsification, and Intraocular Lens Implantation for the Management of Cataract and Posterior Segment Pathologies
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Original Article
VOLUME: 44 ISSUE: 2
P: 98-101
March 2014

Combined Surgical Approach of Pars Plana Vitrectomy, Phacoemulsification, and Intraocular Lens Implantation for the Management of Cataract and Posterior Segment Pathologies

Turk J Ophthalmol 2014;44(2):98-101
DOI: 10.4274/tjo.68442
Cem Özgönül 1
Ali Hakan Durukan 2
Fazıl Cüneyt Erdurman 3
Gökçen Gökçe 4
Güngör Sobacı 2
Osman Melih Ceylan 2
1. Anittepe Jandarma Dispanseri, Göz Hastaliklari Poliklinigi, Ankara, Türkiye
2. Gülhane Askeri Tip Akademisi, Göz Hastaliklari Anabilim Dali, Ankara, Türkiye
3. Çanakkale Asker Hastanesi, Göz Hastaliklari Klinigi, Çanakkale, Türkiye
4. Sarikamis Asker Hastanesi, Göz Hastaliklari Klinigi, Kars, Türkiye
No information available.
No information available
Received Date: 15.06.2013
Accepted Date: 11.11.2013
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ABSTRACT

Objectives:

To evaluate the indications, intra- and post-operative complications, and visual results of combined cataract surgery and pars plana vitrectomy.

Materials and Methods:

Medical records of patients who underwent combined surgery between January 2008 and January 2011 were retrospectively evaluated. Indications for surgery, complications, pre-operative and post-operative visual acuities were recorded.

Results:

Sixty-four eyes of 64 patients were included in the study. Thirty-five (55%) of the patients were men and 29 (45%) were women; mean age was 53±21 (6-88) years. Mean follow-up time was 13±12 (1-51) months. The main indications for combined surgery were intravitreal hemorrhage in 19 patients (29.7%), epiretinal membrane in 12 (18.8%), intraocular foreign body in 11 (17.2%), retinal detachment in 9 (14.1%), and macular edema in 7 (11%) patients. Posterior capsule rupture in 3 cases and corneal edema in 2 cases were the complications encountered during surgery. Postoperatively, hypotonia occurred in 5 cases and corneal edema in 1. Intraocular pressure elevation was observed in 1 silicon-injected case and 1 propane gas-injected case. The average preoperative visual acuity was 1.90±1.9 (0.22 to 3.10) LogMAR. The average postoperative visual acuity at the last visit was 1.1±1.0 (0.00 to 4.00) LogMAR. The visual acuity increase was statistically significant (p<0.001).

Conclusion:

Combined surgery is a feasible option for patients with vitreoretinal diseases and cataract. Visual results and complications depend primarily on the underlying posterior segment pathology.