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Combined 23-gauge transconjunctival sutureless vitrectomy and cataract surgery in cases with cataract and posterior segment diseases.

Yazici AT, Kara N, Bozkurt E, Cakir M, Goker H, Demirok A, Yilmaz OF - Middle East Afr J Ophthalmol (2010)

Bottom Line: Anatomical success was obtained in all cases.Combined transconjunctival sutureless vitrectomy and phacoemulsification was effective and safe in patients with significant lens opacities and vitreoretinal pathology.Although the anatomic and visual outcomes were satisfactory, the outcomes depended mainly on underlying vitreoretinal pathology.

View Article: PubMed Central - PubMed

Affiliation: Istanbul Beyoglu Eye Research and Training Hospital, Galata, Istanbul, Turkey.

ABSTRACT

Background: Combined cataract surgery and transconjunctival sutureless vitrectomy are a good option in patients with cataract and vitreoretinal diseases.

Aim: To evaluate the effectiveness, outcomes, and complications of combined 23-gauge transconjunctival sutureless vitrectomy and cataract surgery.

Settings and design: A retrospective case series was conducted at the Beyoglu Eye Education and Research Hospital.

Materials and methods: In this study, 28 eyes of 28 patients underwent combined 23-gauge transconjunctival sutureless vitrectomy and phacoemulsification and IOL implantation for cataract and various posterior segment diseases. The outcome measures included, visual acuity, intraocular pressure changes, and anatomical success were evaluated.

Results: The mean follow-up was 4.8 months (range, 3-15 months). Mean overall preoperative visual acuity was 20/333, and final acuity was 20/95 (P < 0.001). Mean intraocular pressure (IOP) on the preoperative and first postoperative day was 15.6 ± 7.5 and 13.8 ± 3.3 mmHg, respectively (P > 0.05). Three eyes (10.7%) had postoperative hypotony (<6 mmHg)that all recovered spontaneously within the first postoperative week. Three eyes (10.7%) required laser treatment for iatrogenic retinal tears. Anatomical success was obtained in all cases. No serious complications such as endophthalmitis were observed during the follow-up period.

Conclusion: Combined transconjunctival sutureless vitrectomy and phacoemulsification was effective and safe in patients with significant lens opacities and vitreoretinal pathology. Although the anatomic and visual outcomes were satisfactory, the outcomes depended mainly on underlying vitreoretinal pathology.

No MeSH data available.


Related in: MedlinePlus

Preoperative and postoperative intraocular pressure changes at, 1 day, 3 week, and final postoperative visit
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Figure 0002: Preoperative and postoperative intraocular pressure changes at, 1 day, 3 week, and final postoperative visit

Mentions: The mean preoperative IOP was 13.8 ± 3.3 mmHg, ranging from 6 to 19 mmHg. The mean postoperative IOP on day 1, week 1, and at the final visit was 15.6 ± 7.5 mmHg (range, 1-33 mmHg), 15.5 ± 6.7 mmHg (range, 8-36 mmHg), 14.3 ± 2.6 mmHg (range, 10-20 mmHg), respectively [Figure 2]. Compared with preoperative IOP, there was no significant difference in IOP on day 1, week 1, and at the final visit (P >0.05). One eye with SF6, 1 eye with silicone oil and 1 eye with air had hypotony at day one postoperatively [Table 2]. All of the three cases with hypotony improved by the first postoperative week. Four eyes with silicone oil (14.3%) (P=0,046) had IOP of more than 21 mmHg at day one postoperatively and required topical medication.


Combined 23-gauge transconjunctival sutureless vitrectomy and cataract surgery in cases with cataract and posterior segment diseases.

Yazici AT, Kara N, Bozkurt E, Cakir M, Goker H, Demirok A, Yilmaz OF - Middle East Afr J Ophthalmol (2010)

Preoperative and postoperative intraocular pressure changes at, 1 day, 3 week, and final postoperative visit
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2991456&req=5

Figure 0002: Preoperative and postoperative intraocular pressure changes at, 1 day, 3 week, and final postoperative visit
Mentions: The mean preoperative IOP was 13.8 ± 3.3 mmHg, ranging from 6 to 19 mmHg. The mean postoperative IOP on day 1, week 1, and at the final visit was 15.6 ± 7.5 mmHg (range, 1-33 mmHg), 15.5 ± 6.7 mmHg (range, 8-36 mmHg), 14.3 ± 2.6 mmHg (range, 10-20 mmHg), respectively [Figure 2]. Compared with preoperative IOP, there was no significant difference in IOP on day 1, week 1, and at the final visit (P >0.05). One eye with SF6, 1 eye with silicone oil and 1 eye with air had hypotony at day one postoperatively [Table 2]. All of the three cases with hypotony improved by the first postoperative week. Four eyes with silicone oil (14.3%) (P=0,046) had IOP of more than 21 mmHg at day one postoperatively and required topical medication.

Bottom Line: Anatomical success was obtained in all cases.Combined transconjunctival sutureless vitrectomy and phacoemulsification was effective and safe in patients with significant lens opacities and vitreoretinal pathology.Although the anatomic and visual outcomes were satisfactory, the outcomes depended mainly on underlying vitreoretinal pathology.

View Article: PubMed Central - PubMed

Affiliation: Istanbul Beyoglu Eye Research and Training Hospital, Galata, Istanbul, Turkey.

ABSTRACT

Background: Combined cataract surgery and transconjunctival sutureless vitrectomy are a good option in patients with cataract and vitreoretinal diseases.

Aim: To evaluate the effectiveness, outcomes, and complications of combined 23-gauge transconjunctival sutureless vitrectomy and cataract surgery.

Settings and design: A retrospective case series was conducted at the Beyoglu Eye Education and Research Hospital.

Materials and methods: In this study, 28 eyes of 28 patients underwent combined 23-gauge transconjunctival sutureless vitrectomy and phacoemulsification and IOL implantation for cataract and various posterior segment diseases. The outcome measures included, visual acuity, intraocular pressure changes, and anatomical success were evaluated.

Results: The mean follow-up was 4.8 months (range, 3-15 months). Mean overall preoperative visual acuity was 20/333, and final acuity was 20/95 (P < 0.001). Mean intraocular pressure (IOP) on the preoperative and first postoperative day was 15.6 ± 7.5 and 13.8 ± 3.3 mmHg, respectively (P > 0.05). Three eyes (10.7%) had postoperative hypotony (<6 mmHg)that all recovered spontaneously within the first postoperative week. Three eyes (10.7%) required laser treatment for iatrogenic retinal tears. Anatomical success was obtained in all cases. No serious complications such as endophthalmitis were observed during the follow-up period.

Conclusion: Combined transconjunctival sutureless vitrectomy and phacoemulsification was effective and safe in patients with significant lens opacities and vitreoretinal pathology. Although the anatomic and visual outcomes were satisfactory, the outcomes depended mainly on underlying vitreoretinal pathology.

No MeSH data available.


Related in: MedlinePlus