Visual outcome and complications of cataract extraction after pars plana vitrectomy

Amanda Rey, Ignasi Jürgens, Xavier Maseras, Agnieszka Dyrda, Patricia Pera, Antonio Morilla Department of Ophthalmology, Institut Catala de Retina (ICR), Barcelona, Spain Purpose: To evaluate the visual outcomes and complications of phacoemulsification in previously vitrectomized eyes.Pat...

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Autores principales:	Rey A, Jürgens I, Maseras X, Dyrda A, Pera P, Morilla A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Cataract surgery intraocular lens pars plana vitrectomy vitreoretinal surgery. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/12d6fee37b3e40639380cd749370c81c
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spelling	oai:doaj.org-article:12d6fee37b3e40639380cd749370c81c2021-12-02T07:22:25ZVisual outcome and complications of cataract extraction after pars plana vitrectomy1177-5483https://doaj.org/article/12d6fee37b3e40639380cd749370c81c2018-05-01T00:00:00Zhttps://www.dovepress.com/visual-outcome-and-complications-of-cataract-extraction-after-pars-pla-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Amanda Rey, Ignasi Jürgens, Xavier Maseras, Agnieszka Dyrda, Patricia Pera, Antonio Morilla Department of Ophthalmology, Institut Catala de Retina (ICR), Barcelona, Spain Purpose: To evaluate the visual outcomes and complications of phacoemulsification in previously vitrectomized eyes.Patients and methods: A retrospective analysis of 87 consecutive vitrectomized eyes (87 patients) which had undergone phacoemulsification with intraocular lens implantation between 2013 and 2016.Results: The mean interval from pars plana vitrectomy (PPV) to cataract surgery (CS) was 18.8 months. Mean age at CS was 61.5 years. Intraoperative complications included anterior rhexis tear (1 eye) and hyphema (1 eye). Postoperative complications included macular edema (17.2%, mean 42 days), posterior capsule opacification (13.8%, mean 14 months), ocular hypertension (11.5%), and anterior uveitis (1.1%). Preoperative mean best-corrected visual acuity improved from 20/50 to 20/25. Ninety-one percent of the eyes gained 2 or more lines, and 95% achieved visual acuity ≥20/40 after CS. Preoperative mean spherical equivalent improved from -4.35 to -0.17. Eyes with clear lens prior to the PPV had later CS (clear lens 27.1 vs no clear lens 9.7 months; p=0.016). Patients >55 years with clear lens at PPV (n=21) had earlier CS than younger ones with clear lens (n=24) (11.8 vs 40.5 months; p=0.033). Mean follow-up was 14.5 months.Conclusion: Phacoemulsification is a safe procedure in vitrectomized eyes, with substantial gains in vision in most cases. Patients of advanced age and eyes without clear lens prior to the PPV had earlier CS. Keywords: cataract surgery, intraocular lens, pars plana vitrectomy, vitreoretinal surgeryRey AJürgens IMaseras XDyrda APera PMorilla ADove Medical PressarticleCataract surgeryintraocular lenspars plana vitrectomyvitreoretinal surgery.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 989-994 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cataract surgery intraocular lens pars plana vitrectomy vitreoretinal surgery. Ophthalmology RE1-994
spellingShingle	Cataract surgery intraocular lens pars plana vitrectomy vitreoretinal surgery. Ophthalmology RE1-994 Rey A Jürgens I Maseras X Dyrda A Pera P Morilla A Visual outcome and complications of cataract extraction after pars plana vitrectomy
description	Amanda Rey, Ignasi Jürgens, Xavier Maseras, Agnieszka Dyrda, Patricia Pera, Antonio Morilla Department of Ophthalmology, Institut Catala de Retina (ICR), Barcelona, Spain Purpose: To evaluate the visual outcomes and complications of phacoemulsification in previously vitrectomized eyes.Patients and methods: A retrospective analysis of 87 consecutive vitrectomized eyes (87 patients) which had undergone phacoemulsification with intraocular lens implantation between 2013 and 2016.Results: The mean interval from pars plana vitrectomy (PPV) to cataract surgery (CS) was 18.8 months. Mean age at CS was 61.5 years. Intraoperative complications included anterior rhexis tear (1 eye) and hyphema (1 eye). Postoperative complications included macular edema (17.2%, mean 42 days), posterior capsule opacification (13.8%, mean 14 months), ocular hypertension (11.5%), and anterior uveitis (1.1%). Preoperative mean best-corrected visual acuity improved from 20/50 to 20/25. Ninety-one percent of the eyes gained 2 or more lines, and 95% achieved visual acuity ≥20/40 after CS. Preoperative mean spherical equivalent improved from -4.35 to -0.17. Eyes with clear lens prior to the PPV had later CS (clear lens 27.1 vs no clear lens 9.7 months; p=0.016). Patients >55 years with clear lens at PPV (n=21) had earlier CS than younger ones with clear lens (n=24) (11.8 vs 40.5 months; p=0.033). Mean follow-up was 14.5 months.Conclusion: Phacoemulsification is a safe procedure in vitrectomized eyes, with substantial gains in vision in most cases. Patients of advanced age and eyes without clear lens prior to the PPV had earlier CS. Keywords: cataract surgery, intraocular lens, pars plana vitrectomy, vitreoretinal surgery
format	article
author	Rey A Jürgens I Maseras X Dyrda A Pera P Morilla A
author_facet	Rey A Jürgens I Maseras X Dyrda A Pera P Morilla A
author_sort	Rey A
title	Visual outcome and complications of cataract extraction after pars plana vitrectomy
title_short	Visual outcome and complications of cataract extraction after pars plana vitrectomy
title_full	Visual outcome and complications of cataract extraction after pars plana vitrectomy
title_fullStr	Visual outcome and complications of cataract extraction after pars plana vitrectomy
title_full_unstemmed	Visual outcome and complications of cataract extraction after pars plana vitrectomy
title_sort	visual outcome and complications of cataract extraction after pars plana vitrectomy
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/12d6fee37b3e40639380cd749370c81c
work_keys_str_mv	AT reya visualoutcomeandcomplicationsofcataractextractionafterparsplanavitrectomy AT jurgensi visualoutcomeandcomplicationsofcataractextractionafterparsplanavitrectomy AT maserasx visualoutcomeandcomplicationsofcataractextractionafterparsplanavitrectomy AT dyrdaa visualoutcomeandcomplicationsofcataractextractionafterparsplanavitrectomy AT perap visualoutcomeandcomplicationsofcataractextractionafterparsplanavitrectomy AT morillaa visualoutcomeandcomplicationsofcataractextractionafterparsplanavitrectomy
_version_	1718399442237784064

Visual outcome and complications of cataract extraction after pars plana vitrectomy

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