Combined pars plana vitrectomy with phacoemulsification for rhegmatogenous retinal detachment repair
Josef Guber,1,2 Maico Bentivoglio,1 Veit Sturm,1 Hendrik PN Scholl,2–4 Christophe Valmaggia11Eye Clinic, Cantonal Hospital Sankt Gallen, Sankt Gallen, Switzerland; 2Department of Ophthalmology, University of Basel, Basel, Switzerland; 3Institute of Molecular and Clinical Ophthalmology Base...
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| Formato: | article |
| Lenguaje: | EN |
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Dove Medical Press
2019
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| Acceso en línea: | https://doaj.org/article/774ca7aa43584218a3c9e480d18fda28 |
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| Sumario: | Josef Guber,1,2 Maico Bentivoglio,1 Veit Sturm,1 Hendrik PN Scholl,2–4 Christophe Valmaggia11Eye Clinic, Cantonal Hospital Sankt Gallen, Sankt Gallen, Switzerland; 2Department of Ophthalmology, University of Basel, Basel, Switzerland; 3Institute of Molecular and Clinical Ophthalmology Basel (IOB), Basel, Switzerland; 4Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USACorrespondence: Josef GuberEye Clinic, Cantonal Hospital Sankt Gallen, Rorschacherstrasse 95, CH-9007 Sankt Gallen, SwitzerlandEmail josef_guber@hotmail.comPurpose: To investigate the outcome after combined phaco-vitrectomy in rhegmatogenous retinal detachment (RRD) repair.Patients and methods: In this retrospective study, we included all patients who underwent pars plana vitrectomy (PPV) for RRD between January 2013 and December 2017. The main outcome measure was the retinal re-detachment rate after combined phaco-vitrectomy.Results: Overall, 1017 eyes with RRD were included. All eyes received PPV, while in 516 eyes additional phacoemulsification was performed. A retinal re-detachment occurred in 103 patients (10.1%). No significant difference in the rate of re-detachment was found if additional phacoemulsification was performed (p=0.641). Subgroup calculations showed a significant higher rate of re-detachment in patients with a PVR (p=0.0003) and in patients where silicone oil was used as primary tamponade (p=0.0001) as well as in macula off RRDs (p=0.034).Conclusion: Additional phacoemulsification during vitrectomy for RRD is not associated with higher rate of retinal re-detachment.Keywords: retinal detachment, cataract, phacoemulsification, vitrectomy |
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