Visual outcome and complications of cataract extraction after pars plana vitrectomy
Author
Rey, Amanda
Jürgens Mestre, Ignasi
Maseras, Xavier
Dyrda, Agnieszka
Pera, Patricia
Morilla Grasa, Antonio
Publication date
2018ISSN
1177-5483
Abstract
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.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
617 - Surgery. Orthopaedics. Ophthalmology
Keywords
Cataractes -- Cirurgia
Lents intraoculars
Retina -- Cirurgia
Oftalmologia
Cataratas (Oftalmología) -- Cirugía
Lentes intraoculares
Retina -- Cirugía
Oftalmología
Cataract -- Surgery
Intraocular lenses
Retina -- Surgery
Ophthalmology
Pages
6
Publisher
Dove Press
Collection
12;
Is part of
Clinical Ophthalmology
Citation
Rey, Amanda; Jürgens Mestre, Ignasi; Maseras, Xavier [et al.]. Visual outcome and complications of cataract extraction after pars plana vitrectomy. Clinical Ophthalmology, 2018, 12, p. 989-994. Disponible en: <https://www.dovepress.com/visual-outcome-and-complications-of-cataract-extraction-after-pars-pla-peer-reviewed-article-OPTH#>. Fecha de acceso: 24 mar. 2020. DOI: 10.2147/OPTH.S161223
This item appears in the following Collection(s)
- Ciències de la Salut [740]
Rights
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by-nc/3.0/