J Korean Ophthalmol Soc.  2007 Oct;48(10):1335-1340. 10.3341/jkos.2007.48.10.1335.

Mechanized Posterior Capsulectomy During Combined Vitrectomy and Cataract Surgery

• Park SE
• Lee SJ

• KMID: 2210986
• DOI: http://doi.org/10.3341/jkos.2007.48.10.1335

Abstract

PURPOSE: To analyze the effects and the stability of a posterior capsulectomy during combined vitrectomy and cataract surgeries in patients with retinal disease.
METHODS
Between 2003 and 2005, the records of patients who underwent posterior capsulectomy during a combined vitrectomy and cataract surgery were followed for 12 months. Among 26 total eyes (17 were from males and nine from females), the average age was 63. An epiretinal membrane was found in 18 eyes, branch retinal vein occlusion in three eyes, diabetic macular edema and vitreous opacity in two eyes, and a macular hole in one eye. The posterior capsulotomy was made smaller than the optic using a vitrectomy cutter after insertion of a posterior chamber intraocular lens (IOL). We investigated postoperative visual acuity, inflammation, and complications.
RESULTS
There were no intraoperative complications. One month postoperatively, one eye (3.8%) showed an increase in intraocular pressure of more than 30 mmHg, one eye (3.8%) showed 2+ inflammatory cells in the anterior chamber. Visual acuity increased by 2 lines postoperatively in 13 eyes (50.0%), whereas visual acuity decreased by more than 1 line in one eye (3.8%). There was a slight decenteration of IOL within 1 mm in two eyes (7.7%) and there was no reclosure of the posterior capsulectomy one year postoperatively.
CONCLUSIONS
Posterior capsulectomy during combined vitrectomy and cataract surgery in patients with retinal disease was simple, safe, and effective in preventing after cataract.

Keyword

Cataract surgery; Mechanized; Posterior capsulectomy; Retinal disease; Vitrectomy

MeSH Terms

Anterior Chamber
Cataract*
Epiretinal Membrane
Humans
Inflammation
Intraocular Pressure
Intraoperative Complications
Lenses, Intraocular
Macular Edema
Male
Posterior Capsulotomy
Retinal Diseases
Retinal Perforations
Retinal Vein Occlusion
Visual Acuity
Vitrectomy*

Figure

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  Figure 1. Anterior segment photograph shows anterior (linear arrow) and posterior capsulotomy lines (dotted arrow) at 1 day postoperatively. The posterior capsulotomy was done during combined vitrectomy and cataract operation.

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  Figure 2. Anterior segment photograph shows mild marginal opacity of the anterior and posterior capsules but clear central view 1 year after posterior capsulotomy during combined vitrectomy and cataract operation.

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  Figure 3. LogMAR visual acuity results (n=26).

Reference

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