Surgical results of combined pars plana vitrectomy and phacoemulsification for vitreous hemorrhage in PDR

Handan Canan,1 Selçuk Sizmaz,2 Rana Altan-Yaycioğlu1 1Department of Ophthalmology, Adana Teaching and Medical Research Center, Baskent University School of Medicine, 2Department of Ophthalmology, Cukurova University School of Medicine, Yuregir, Adana, Turkey Background: The purpose of thi...

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Autores principales:	Canan H, Sizmaz S, Altan-Yaycioğlu R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/7b8a31529d814644b7553fa65a1bc232
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spelling	oai:doaj.org-article:7b8a31529d814644b7553fa65a1bc2322021-12-02T02:38:56ZSurgical results of combined pars plana vitrectomy and phacoemulsification for vitreous hemorrhage in PDR1177-54671177-5483https://doaj.org/article/7b8a31529d814644b7553fa65a1bc2322013-08-01T00:00:00Zhttp://www.dovepress.com/surgical-results-of-combined-pars-plana-vitrectomy-and-phacoemulsifica-a13962https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Handan Canan,1 Selçuk Sizmaz,2 Rana Altan-Yaycioğlu1 1Department of Ophthalmology, Adana Teaching and Medical Research Center, Baskent University School of Medicine, 2Department of Ophthalmology, Cukurova University School of Medicine, Yuregir, Adana, Turkey Background: The purpose of this study was to evaluate the effectiveness, safety, and incidence of complications after combined clear corneal phacoemulsification with intraocular lens implantation and pars plana vitrectomy in eyes with proliferative diabetic retinopathy coexistent with significant cataract. Methods: Eighty-five eyes of 85 patients with proliferative diabetic retinopathy underwent primary standard three-port vitrectomy with 20-gauge instruments and phacoemulsification with intraocular lens implantation for vitreous hemorrhage from 2008 to 2011. The main outcome measures were visual outcomes and surgical complications. Results: Forty patients were male and 45 were female. Their age ranged from 40 to 77 years with a mean of 59.6 years. The mean follow-up was 13 months, with a range of 6–48 months. The preoperative logMAR visual acuity changed from 2.62 ± 0.6 to 0.8 ± 0.7 postoperatively. Postoperatively, visual acuity improved in 79 eyes (92.9%), and did not change in six eyes (7.1%). Intraoperative complications were transient corneal edema (five eyes) and posterior capsular rupture (one eye). Postoperative complications consisted of transient intraocular pressure elevation (25 eyes), corneal epithelial defects (six eyes), anterior chamber reaction (four eyes), hyphema (two eyes), posterior synechiae (four eyes), vitreous hemorrhage (23 eyes), retinal tears (five eyes), retinal detachment (one eye), and neovascular glaucoma (one eye). Conclusion: Our study suggests that the combined operation of pars plana vitrectomy, phacoemulsification, and intraocular lens implantation is safe and effective for patients with proliferative diabetic retinopathy. We believe that the visual outcome and complications depended primarily on underlying posterior segment pathology and were not related to the combined procedure technique. Keywords: cataract, diabetic retinopathy, phacoemulsification, vitrectomyCanan HSizmaz SAltan-Yaycioğlu RDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1597-1601 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Canan H Sizmaz S Altan-Yaycioğlu R Surgical results of combined pars plana vitrectomy and phacoemulsification for vitreous hemorrhage in PDR
description	Handan Canan,1 Selçuk Sizmaz,2 Rana Altan-Yaycioğlu1 1Department of Ophthalmology, Adana Teaching and Medical Research Center, Baskent University School of Medicine, 2Department of Ophthalmology, Cukurova University School of Medicine, Yuregir, Adana, Turkey Background: The purpose of this study was to evaluate the effectiveness, safety, and incidence of complications after combined clear corneal phacoemulsification with intraocular lens implantation and pars plana vitrectomy in eyes with proliferative diabetic retinopathy coexistent with significant cataract. Methods: Eighty-five eyes of 85 patients with proliferative diabetic retinopathy underwent primary standard three-port vitrectomy with 20-gauge instruments and phacoemulsification with intraocular lens implantation for vitreous hemorrhage from 2008 to 2011. The main outcome measures were visual outcomes and surgical complications. Results: Forty patients were male and 45 were female. Their age ranged from 40 to 77 years with a mean of 59.6 years. The mean follow-up was 13 months, with a range of 6–48 months. The preoperative logMAR visual acuity changed from 2.62 ± 0.6 to 0.8 ± 0.7 postoperatively. Postoperatively, visual acuity improved in 79 eyes (92.9%), and did not change in six eyes (7.1%). Intraoperative complications were transient corneal edema (five eyes) and posterior capsular rupture (one eye). Postoperative complications consisted of transient intraocular pressure elevation (25 eyes), corneal epithelial defects (six eyes), anterior chamber reaction (four eyes), hyphema (two eyes), posterior synechiae (four eyes), vitreous hemorrhage (23 eyes), retinal tears (five eyes), retinal detachment (one eye), and neovascular glaucoma (one eye). Conclusion: Our study suggests that the combined operation of pars plana vitrectomy, phacoemulsification, and intraocular lens implantation is safe and effective for patients with proliferative diabetic retinopathy. We believe that the visual outcome and complications depended primarily on underlying posterior segment pathology and were not related to the combined procedure technique. Keywords: cataract, diabetic retinopathy, phacoemulsification, vitrectomy
format	article
author	Canan H Sizmaz S Altan-Yaycioğlu R
author_facet	Canan H Sizmaz S Altan-Yaycioğlu R
author_sort	Canan H
title	Surgical results of combined pars plana vitrectomy and phacoemulsification for vitreous hemorrhage in PDR
title_short	Surgical results of combined pars plana vitrectomy and phacoemulsification for vitreous hemorrhage in PDR
title_full	Surgical results of combined pars plana vitrectomy and phacoemulsification for vitreous hemorrhage in PDR
title_fullStr	Surgical results of combined pars plana vitrectomy and phacoemulsification for vitreous hemorrhage in PDR
title_full_unstemmed	Surgical results of combined pars plana vitrectomy and phacoemulsification for vitreous hemorrhage in PDR
title_sort	surgical results of combined pars plana vitrectomy and phacoemulsification for vitreous hemorrhage in pdr
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/7b8a31529d814644b7553fa65a1bc232
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Surgical results of combined pars plana vitrectomy and phacoemulsification for vitreous hemorrhage in PDR

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