Retina-Vitreous
2011 , Vol 19 , Num 1
Outcomes of Pars Plana Vitrectomy Combined with Phacoemulsification and Intraocular Lens Implantation
1İnönü Üniversitesi Turgut Özal Tıp Merkezi, Göz Hastalıkları A.D., Malatya, Uzm. Dr.2İnönü Üniversitesi Turgut Özal Tıp Merkezi, Göz Hastalıkları A.D., Malatya, Prof. Dr.
3Malatya Devlet Hastanesi, Göz Hastalıkları Servisi, Malatya, Uzm. Dr. Purpose: To investigate the outcomes of pars plana vitrectomy combined with phacoemulsification (PHACO) and intraocular lens (IOL) implantation surgery.
Materials and Methods: The study included 29 eyes of 29 patients underwent PHACO surgery combined with PPV+IOL implantation. Patients’ the best corrected visual acuities (BCVAs) and intraocular pressures (IOPs) were measured prior to surgery, and postoperatively on the first day, at the first week, on the first, third and sixth months. In the patients whose posterior segments were not evaluated, A- and B-scan ultrasonography was performed. The patients were controlled for the alterations in BCVA, IOP, intraoperative and postoperative complications.
Results: On the basis of the findings of examinations on the postoperative sixth month, BCVA improved in 25 of 29 patients (86.2%) compared to preoperative values. On postoperative follow up, an increase in IOP occurred in 6 patients. Three patients (27.3%) of those who underwent surgery because of retinal detachment with tears developed redetachment, and recurrent VH occurred in two (18.1%) of the patients underwent surgery because of VH. During operation, iatrogenic retinal tear occurred in one patient and corneal epithelial edema occurred in four patients.
Conclusion: Considering benefits of PHACO surgery combined with PPV and disadvantages of separate surgeries, combined surgery may be a safe way for appropriate patients. Keywords : Pars plana vitrectomy, phacoemulsification surgery