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E-ISSN: 2147-2661
Outcomes of Cataract Surgery in Vitrectomized Eyes
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Original Article
VOLUME: 43 ISSUE: 1
P: 23-26
January 2013

Outcomes of Cataract Surgery in Vitrectomized Eyes

Turk J Ophthalmol 2013;43(1):23-26
DOI: 10.4274/tjo.43.50570
Durgül Türüthan
Nilüfer Koçak
Sıtkı Eren
Süleyman Kaynak
1. Dokuz Eylül Üniversitesi Tip Fakültesi, Göz Hastaliklari Anabilim Dali, Izmir, Türkiye
No information available.
No information available
Received Date: 10.03.2012
Accepted Date: 27.08.2012
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ABSTRACT

Pur­po­se:

To evaluate the intraoperative complications and postoperative visual outcomes of phacoemulsification surgery for the secondary cataract in vitrectomized eyes.

Ma­te­ri­al and Met­hod:

We retrospectively evaluated 51 previously vitrectomized eyes of 51 patients who had undergone phacoemulsification and intraocular lens (PHACO+IOL) implantation surgery. PHACO+IOL surgery was performed in our clinic between October 2008 and May 2011. Intraoperative complications and postoperative best-corrected visual acuity (BCVA) outcomes were analyzed.

Re­sults:

In this study, 31 out of 51 eyes had posterior subcapsular cataract. Cataract surgery was performed after a mean of 21.39±26.4 (6-120, median 10.75) months following PPV. Mean preoperative and postoperative BCVA was measured to be 1.52±0.88 logMAR and 0.74±0.73 logMAR, respectively. In 25 eyes which had been filled with silicon oil, mean BCVA was 1.95±0.91 logMAR preoperatively and 1.15±0.84 logMAR postoperatively. In 18 (35.3%) eyes which had been filled with sulfur hexafluoride tamponade, mean BCVA was 1.17±0.47 logMAR preoperatively and 0.38±3.6 logMAR postoperatively. Peroperative zonular dialysis with instable deep anterior chamber occurred in two eyes, and posterior capsular tear occurred in one eye. Four eyes had Nd:YAG capsulotomy due to the posterior capsular opacity during the follow-up period.

Dis­cus­si­on:

Despite the well-known difficulties encountered in vitrectomized eyes such as zonular weakness, increased mobility of the lens-iris diaphragm, posterior capsular instability and posterior capsular plaques, phacoemulsification in vitrectomized eyes proved to be a safe surgery, and increase in visual acuity can be achieved.

References

1
Blodi BA, Paluska SA. Cataract after vitrectomy in young patients. Ophthalmology. 1997;104:1092-5.
2
Melberg NS, Thomas MA. Nuclear sclerotic cataract after vitrectomy in patients younger than 50 years of age. Ophthalmology. 1995;102:1466-71.
3
Novak MA, Rice TA, Michels RG Auer C. The crystalline lens after vitrectomy for diabetic retinopathy. Ophthalmology. 1984;91:1480-4.
4
Cherfan GM, Michels RG, de Bustros S. Enger C, Glaser BM. Nuclear sclerotic cataract after vitrectomy for idiopathic epiretinal membranes causing macular pucker. Am J Ophthalmol. 1991;111:434-8.
5
Freeman WR, Azen SP, Kim JW el-Haig W, Mishell DR 3rd, Bailey I. Vitrectomy for the treatment of full-thickness stage 3 or 4 macular holes. Results of a multicentered randomized clinical trial. Arch Ophthalmol. 1997;115:11-21.
6
Leonard RE, Smiddy WE, Flynn HW Jr, Feuer W. Long-term visual outcomes in patients with successful macular hole surgery. Ophthalmology. 1997;104:1648-52.          
7
Melberg NS, Thomas MA. Nuclear sclerotic cataract after vitrectomy in patients younger than 50 years of age. Ophthalmology. 1995;102:1466-71.
8
Cheng L, Azen SP, El-Bradey MH, et al. Duration of vitrectomy and postoperative cataract in the vitrectomy for macular hole study. Am J Ophthalmol. 2001;132:881-7.
9
Federman JL, Schubert HD. Complications associated with the use of silicone oil in 150 eyes after retina-vitreous surgery. Ophthalmology. 1988;95:870-6.
10
Hiscott P, Magee RM, Colthurst M, Lois N, Wong D. Clinicopathological correlation of epiretinal membranes and posterior lens opacification following perfluorohexyloctane tamponade. Br J Ophthalmol. 2001;85:179-83.
11
Lacalle VD, Garate FJO, Alday NM et al. Phacoemulsification cataract surgery in vitrectomized eyes. J Cataract Refract Surg. 1998;24:806-9.
12
McDermott ML, Puklin JE, Abrams GW et al. Phacoemulsification for cataract following pars plana vitrectomy. Ophthalmic Surg Lasers. 1997;28:558-64.
13
Pinter SM, Sugar A. Phacoemulsification in eyes with past pars plana vitrectomy: case control study. J Cataract Refract Surg. 1999;25:556-61.
14
Grusha YO, Masket S, Miller KM. Phacoemulsification and lens implantation after pars plana vitrectomy. Ophthalmology. 1998;105:287-94.
15
Sneed S, Parrish RK, Mandelbaum S, O'Grady G. Technical problems of extracapsular cataract extraction after vitrectomy. Arch Ophthalmol. 1986;104:1126-7.
16
Smiddy WE, Stark WJ, Michels RG. Maumenee AE, Terry AC, Glaser BM. Cataract extraction after vitrectomy. Ophthalmology. 1987;94:483-7.
17
de Bustros S, Thompson JT, Michels RG Enger C, Rice TA, Glaser BM. Nuclear sclerosis after vitrectomy for idiopathic epiretinal membranes. Am J Ophthalmol. 1988;105:160-4.
18
Chang MA, Parides MK, Chang S, Braunstein RE. Outcome of phacoemulsification after pars plana vitrectomy. Ophthalmology. 2002;109:948-54.
19
Ahfat FG, Yuen CH, Groenewald CP. Phacoemulsification and intraocular lens implantation following pars plana vitrectomy: a prospective study. Eye. 2003;17:16-20.
20
Özdek Ş, Aydın B, Aksoy S, Gürelik G, Hasanreisoğlu B. Vitrektomize bir gözde katarakt cerrahisi teknik seçimi, cerrahi zorluklar, muhtemel komplikasyonlar ve tedavisi. Ret-Vit. 2003;11: özel sayı: 23-5.
21
Akinci A, Batman C, Zilelioglu O. Cataract surgery in previously vitrectomized eyes. Int J Clin Pract. 2008;5:770-5.
22
Biro Z, Kovacs B. Results of cataract surgery in previously vitrectomized eyes. J Cataract Refract Surg. 2002;28:1003-6.