Refractive error analysis of phacoemulsification combined with intraocular lens implantation after vitrectomy

AIM: To evaluate the refractive errors after phacoemulsification combined with intraocular lens(IOL)implantation in previously vitrectomized eyes.METHODS: Thirty-eight patients(40 eyes)with cataract who had undergone vitrectomy were divided into two groups: vitrectomy alone as group A(22 eyes), vitr...

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Autores principales: Yan-Fen Wang, Farheen Tariq, Ting Ma, Yi-Dan He, Hai-Xiao Feng, Ting Li, Ling Bai
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Publicado: Press of International Journal of Ophthalmology (IJO PRESS) 2021
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spelling oai:doaj.org-article:8747f67155c945b1b889249072de90112021-11-22T14:22:33ZRefractive error analysis of phacoemulsification combined with intraocular lens implantation after vitrectomy1672-512310.3980/j.issn.1672-5123.2021.12.28https://doaj.org/article/8747f67155c945b1b889249072de90112021-12-01T00:00:00Zhttp://ies.ijo.cn/cn_publish/2021/12/202112028.pdfhttps://doaj.org/toc/1672-5123AIM: To evaluate the refractive errors after phacoemulsification combined with intraocular lens(IOL)implantation in previously vitrectomized eyes.METHODS: Thirty-eight patients(40 eyes)with cataract who had undergone vitrectomy were divided into two groups: vitrectomy alone as group A(22 eyes), vitrectomy combined with inert gas(C3F8)tamponade as group B(18 eyes). In addition, normal eyes(20 eyes)without vitrectomy history who required cataract surgery were included as a control group C. Axial length(AL), keratometric value(K), anterior chamber depth(ACD), and white-to-white(W-W)were measured with IOL Master 500 before the surgery. The power of IOL was calculated with the online Barrett Universal Ⅱ formula. Phacoemulsification combined with IOL implantation by an iris hook assistance technique was used to treat groups A and B, group C was treated only with phacoemulsification and IOL implantation. There were no complications, such as posterior capsule rupture. The postoperative refraction was obtained three months after surgery. The prediction error(PE), absolute prediction error(AE), and median absolute error(MedAE)among the three groups were compared.RESULTS: There was no significant difference among the three groups in AL, K value, and IOL power. A significantly deep ACD was noted in groups A and B compared with group C(P<0.01). There was a significant difference in the prediction error among the three groups(P=0.042). Group B showed a significant hyperopic shift compared with group C. AE and MedAE among groups showed no significant difference.CONCLUSION: There was no significant difference in the refractive results of patients with phacoemulsification sequential to vitrectomy alone compared with the normal control group. However, a hyperopic shift was found in patients with phacoemulsification sequential to vitrectomy with inert gas tamponade comparing with the normal eyes. Undercorrection should be avoided when selecting IOL power.Yan-Fen WangFarheen TariqTing MaYi-Dan HeHai-Xiao FengTing LiLing BaiPress of International Journal of Ophthalmology (IJO PRESS)articlepost vitrectomycataractphacoemulsificationintraocular lensrefractionOphthalmologyRE1-994ENGuoji Yanke Zazhi, Vol 21, Iss 12, Pp 2166-2169 (2021)
institution DOAJ
collection DOAJ
language EN
topic post vitrectomy
cataract
phacoemulsification
intraocular lens
refraction
Ophthalmology
RE1-994
spellingShingle post vitrectomy
cataract
phacoemulsification
intraocular lens
refraction
Ophthalmology
RE1-994
Yan-Fen Wang
Farheen Tariq
Ting Ma
Yi-Dan He
Hai-Xiao Feng
Ting Li
Ling Bai
Refractive error analysis of phacoemulsification combined with intraocular lens implantation after vitrectomy
description AIM: To evaluate the refractive errors after phacoemulsification combined with intraocular lens(IOL)implantation in previously vitrectomized eyes.METHODS: Thirty-eight patients(40 eyes)with cataract who had undergone vitrectomy were divided into two groups: vitrectomy alone as group A(22 eyes), vitrectomy combined with inert gas(C3F8)tamponade as group B(18 eyes). In addition, normal eyes(20 eyes)without vitrectomy history who required cataract surgery were included as a control group C. Axial length(AL), keratometric value(K), anterior chamber depth(ACD), and white-to-white(W-W)were measured with IOL Master 500 before the surgery. The power of IOL was calculated with the online Barrett Universal Ⅱ formula. Phacoemulsification combined with IOL implantation by an iris hook assistance technique was used to treat groups A and B, group C was treated only with phacoemulsification and IOL implantation. There were no complications, such as posterior capsule rupture. The postoperative refraction was obtained three months after surgery. The prediction error(PE), absolute prediction error(AE), and median absolute error(MedAE)among the three groups were compared.RESULTS: There was no significant difference among the three groups in AL, K value, and IOL power. A significantly deep ACD was noted in groups A and B compared with group C(P<0.01). There was a significant difference in the prediction error among the three groups(P=0.042). Group B showed a significant hyperopic shift compared with group C. AE and MedAE among groups showed no significant difference.CONCLUSION: There was no significant difference in the refractive results of patients with phacoemulsification sequential to vitrectomy alone compared with the normal control group. However, a hyperopic shift was found in patients with phacoemulsification sequential to vitrectomy with inert gas tamponade comparing with the normal eyes. Undercorrection should be avoided when selecting IOL power.
format article
author Yan-Fen Wang
Farheen Tariq
Ting Ma
Yi-Dan He
Hai-Xiao Feng
Ting Li
Ling Bai
author_facet Yan-Fen Wang
Farheen Tariq
Ting Ma
Yi-Dan He
Hai-Xiao Feng
Ting Li
Ling Bai
author_sort Yan-Fen Wang
title Refractive error analysis of phacoemulsification combined with intraocular lens implantation after vitrectomy
title_short Refractive error analysis of phacoemulsification combined with intraocular lens implantation after vitrectomy
title_full Refractive error analysis of phacoemulsification combined with intraocular lens implantation after vitrectomy
title_fullStr Refractive error analysis of phacoemulsification combined with intraocular lens implantation after vitrectomy
title_full_unstemmed Refractive error analysis of phacoemulsification combined with intraocular lens implantation after vitrectomy
title_sort refractive error analysis of phacoemulsification combined with intraocular lens implantation after vitrectomy
publisher Press of International Journal of Ophthalmology (IJO PRESS)
publishDate 2021
url https://doaj.org/article/8747f67155c945b1b889249072de9011
work_keys_str_mv AT yanfenwang refractiveerroranalysisofphacoemulsificationcombinedwithintraocularlensimplantationaftervitrectomy
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AT tingma refractiveerroranalysisofphacoemulsificationcombinedwithintraocularlensimplantationaftervitrectomy
AT yidanhe refractiveerroranalysisofphacoemulsificationcombinedwithintraocularlensimplantationaftervitrectomy
AT haixiaofeng refractiveerroranalysisofphacoemulsificationcombinedwithintraocularlensimplantationaftervitrectomy
AT tingli refractiveerroranalysisofphacoemulsificationcombinedwithintraocularlensimplantationaftervitrectomy
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