Combined Phacoemulsification and Pars Plana Vitrectomy in complicated cases
| Authors | |
|---|---|
| Year of publication | 2002 |
| Type | Article in Proceedings |
| Conference | XX. congress of the ESCRS |
| MU Faculty or unit | |
| Citation | |
| Field | ORL, ophthalmology, stomatology |
| Keywords | phacoemulsification; pars plana vitrectomy; complicated cases |
| Description | Purpose Compare results in cataract surgery and pars plana vitrectomy alone with combined procedure. Setting 137 patients were operated on with phacoemulsification and pars plana vitrectomy compare to 140 patients with cataract surgery that was following by pars plana vitrectomy two month later. The diagnoses of patients were proliferative diabetic retinopathy in 65%, proliferative vitreoretinopathy in 22% and macular surgery in 3% respectively. In favourable cases we implanted intraocular lenses. Methods Phacoemulsifications of cataract were made by conventional technique. The standard approach to a three-port to pars plana vitrectomy is by placing the sclerotomies in the superotemporal and superonasal quadrant and the infusion port in the inferotemporal quadrant. In macular surgery we removed internal limiting membrane with intraocular gas tamponade. One surgeon made the all surgeries. Results Patients operated on combined procedure had quicker rehabilitation. The phacoemulsificatin were difficult in all cases because of red reflex absent. There was indispensable the need of only one procedure, because of age and condition. Conclusion The author speaks for combined procedure, e.g. phacoemulsification and vitreoretinal surgery because of short visual rehabilitation and less complication. |