J Korean Ophthalmol Soc.  2002 Feb;43(2):267-273.

Clinical Results of Combined Surgery: Pars Plana Vitrectomy, Phacoemulsification and Posterior Chamber Intraocular Lens Implantation

• Cho HJ
• Cho YW

Abstract

PURPOSE: To evaluate the clinical outcomes and complications of combined phacoemulsification and vitrectomy surgery in patients who have vitreoretinal diseases with a concomitant cataract.
METHODS
Combined phacoemulsification-vitrectomy surgery was performed in 50 eyes of 45 patients who had various vitreoretinal diseases and a significant cataract that is considered to disturb the postoperative visual rehabilitation or fundus examination. Main outcome measures were visual acuity and intraoperative and postoperative complications.
RESULTS
We performed combined surgery consisting of pars plana vitrectomy (PPV), phacoemulsification, and posterior chamber intraocular lens (PC-IOL) implantation. Intraocular lens were inserted in the bag with one case of exception inserted in the ciliary sulcus. Thirty-seven eyes (74%) had improved postoperative visual acuity, in 9 eyes (18%) the acuity was unchanged and 4 eyes (8%) it deteriorated. Intraocular pressure elevation, recurrent vitreous hemorrhage, macular edema, retinal detachment and endophthalmitis were considered to be clinically significant postoperative complications.
CONCLUSIONS
The results of this study suggest that combined phacoemulsification-vitrectomy surgery is a viable option in the management of most posterior segment diseases in the presence of cataract.

Keyword

Combined Phacoemulsification-vitrectomy; Posterior chamber intraocular lens implantation; Visual outcome; Complication

MeSH Terms

Cataract
Endophthalmitis
Humans
Intraocular Pressure
Lens Implantation, Intraocular*
Lenses, Intraocular*
Macular Edema
Outcome Assessment (Health Care)
Phacoemulsification*
Postoperative Complications
Rehabilitation
Retinal Detachment
Visual Acuity
Vitrectomy*
Vitreous Hemorrhage