Central Pars Plana Vitrectomy + Phacoemulsification + Intraocular Lens Implantation in Patients with Small Eyes, Cataract, and Narrow Anterior Chambers

Fermín Silva Cayatopa, Ana Luisa González Méndez, Robinson Barrientos Ortiz, Alejandro Silva Diaz, Fernando Godin Estrada Department of Ophthalmology, Research Department Clínica La Luz, Lima, PeruCorrespondence: Ana Luisa González Mé...

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Autores principales:	Silva Cayatopa F, González Méndez AL, Barrientos Ortiz R, Silva Diaz A, Godin Estrada F
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	best corrected visual acuity intraocular pressure intraocular lens implantation crowded anterior chamber. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/68c0d27be8cb474cb4bb2704290b41a3
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spelling	oai:doaj.org-article:68c0d27be8cb474cb4bb2704290b41a32021-12-02T17:13:58ZCentral Pars Plana Vitrectomy + Phacoemulsification + Intraocular Lens Implantation in Patients with Small Eyes, Cataract, and Narrow Anterior Chambers1177-5483https://doaj.org/article/68c0d27be8cb474cb4bb2704290b41a32021-10-01T00:00:00Zhttps://www.dovepress.com/central-pars-plana-vitrectomy--phacoemulsification--intraocular-lens-i-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Fermín Silva Cayatopa, Ana Luisa González Méndez, Robinson Barrientos Ortiz, Alejandro Silva Diaz, Fernando Godin Estrada Department of Ophthalmology, Research Department Clínica La Luz, Lima, PeruCorrespondence: Ana Luisa González MéndezResearch Department Clínica La Luz, Department of Ophthalmology, Av. Arequipa 1148, Lima, PeruTel +51 947273992Email dra.analuisagonzalez88@gmail.comPurpose: To evaluate the results of central pars plana vitrectomy + phacoemulsification + intraocular lens implantation in patients with small eyes, cataract, and narrow chambers.Methods: This prospective study was carried out in 89 eyes of 58 patients undergoing central pars plana vitrectomy + phacoemulsification + IOL implantation in small eyes with cataract at Clínica La Luz Eye Institute in Lima, Peru.Results: The mean best corrected visual acuity (BCVA) was 0.8± 0.6 preoperatively, 0.5± 0.6 at 1 month, 0.3± 0.3 at 6 months, 0.1± 0.1 at 9 months, and 0.05± 0.1 at 1 year, which was statistically significant from the preoperative period to 1 year of follow-up. Mean intraocular pressure was 22.09± 2.4 mmHg preoperatively, 14.55± 2.9 mmHg at 1 day, 12.94± 2.04 mmHg at 1 month, 12.01± 1.2 mmHg at 6 months, 12.20± 1.9 mmHg at 9 months, and 11.34± 1.1 mmHg at 1 year. The reduction in the intraocular pressure from the preoperative control period to the follow-up at 1 year was statistically significant. There was only one complication, a rupture of the posterior capsule, which was quickly resolved.Conclusion: Central pars plana vitrectomy with phacoemulsification is a safe and effective technique to perform in narrow chambers with all types of cataracts, in experienced hands, which can avoid intraoperative complications.Keywords: best corrected visual acuity, intraocular pressure, intraocular lens implantation, crowded anterior chamberSilva Cayatopa FGonzález Méndez ALBarrientos Ortiz RSilva Diaz AGodin Estrada FDove Medical Pressarticlebest corrected visual acuityintraocular pressureintraocular lens implantationcrowded anterior chamber.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 4181-4187 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	best corrected visual acuity intraocular pressure intraocular lens implantation crowded anterior chamber. Ophthalmology RE1-994
spellingShingle	best corrected visual acuity intraocular pressure intraocular lens implantation crowded anterior chamber. Ophthalmology RE1-994 Silva Cayatopa F González Méndez AL Barrientos Ortiz R Silva Diaz A Godin Estrada F Central Pars Plana Vitrectomy + Phacoemulsification + Intraocular Lens Implantation in Patients with Small Eyes, Cataract, and Narrow Anterior Chambers
description	Fermín Silva Cayatopa, Ana Luisa González Méndez, Robinson Barrientos Ortiz, Alejandro Silva Diaz, Fernando Godin Estrada Department of Ophthalmology, Research Department Clínica La Luz, Lima, PeruCorrespondence: Ana Luisa González MéndezResearch Department Clínica La Luz, Department of Ophthalmology, Av. Arequipa 1148, Lima, PeruTel +51 947273992Email dra.analuisagonzalez88@gmail.comPurpose: To evaluate the results of central pars plana vitrectomy + phacoemulsification + intraocular lens implantation in patients with small eyes, cataract, and narrow chambers.Methods: This prospective study was carried out in 89 eyes of 58 patients undergoing central pars plana vitrectomy + phacoemulsification + IOL implantation in small eyes with cataract at Clínica La Luz Eye Institute in Lima, Peru.Results: The mean best corrected visual acuity (BCVA) was 0.8± 0.6 preoperatively, 0.5± 0.6 at 1 month, 0.3± 0.3 at 6 months, 0.1± 0.1 at 9 months, and 0.05± 0.1 at 1 year, which was statistically significant from the preoperative period to 1 year of follow-up. Mean intraocular pressure was 22.09± 2.4 mmHg preoperatively, 14.55± 2.9 mmHg at 1 day, 12.94± 2.04 mmHg at 1 month, 12.01± 1.2 mmHg at 6 months, 12.20± 1.9 mmHg at 9 months, and 11.34± 1.1 mmHg at 1 year. The reduction in the intraocular pressure from the preoperative control period to the follow-up at 1 year was statistically significant. There was only one complication, a rupture of the posterior capsule, which was quickly resolved.Conclusion: Central pars plana vitrectomy with phacoemulsification is a safe and effective technique to perform in narrow chambers with all types of cataracts, in experienced hands, which can avoid intraoperative complications.Keywords: best corrected visual acuity, intraocular pressure, intraocular lens implantation, crowded anterior chamber
format	article
author	Silva Cayatopa F González Méndez AL Barrientos Ortiz R Silva Diaz A Godin Estrada F
author_facet	Silva Cayatopa F González Méndez AL Barrientos Ortiz R Silva Diaz A Godin Estrada F
author_sort	Silva Cayatopa F
title	Central Pars Plana Vitrectomy + Phacoemulsification + Intraocular Lens Implantation in Patients with Small Eyes, Cataract, and Narrow Anterior Chambers
title_short	Central Pars Plana Vitrectomy + Phacoemulsification + Intraocular Lens Implantation in Patients with Small Eyes, Cataract, and Narrow Anterior Chambers
title_full	Central Pars Plana Vitrectomy + Phacoemulsification + Intraocular Lens Implantation in Patients with Small Eyes, Cataract, and Narrow Anterior Chambers
title_fullStr	Central Pars Plana Vitrectomy + Phacoemulsification + Intraocular Lens Implantation in Patients with Small Eyes, Cataract, and Narrow Anterior Chambers
title_full_unstemmed	Central Pars Plana Vitrectomy + Phacoemulsification + Intraocular Lens Implantation in Patients with Small Eyes, Cataract, and Narrow Anterior Chambers
title_sort	central pars plana vitrectomy + phacoemulsification + intraocular lens implantation in patients with small eyes, cataract, and narrow anterior chambers
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/68c0d27be8cb474cb4bb2704290b41a3
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Central Pars Plana Vitrectomy + Phacoemulsification + Intraocular Lens Implantation in Patients with Small Eyes, Cataract, and Narrow Anterior Chambers

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