Rapid Fire Saturday 19 May 08:00 - 09:32 Salle des Princes
H. Lu,
CHINA
Combined phacoemulsification with pars plana vitrectomy for eyes with coexisting cataract and proliferative diabetic retinopathy
Purpose: To evaluate the clinical results of combined phacoemulsification with pars plana vitrectomy for eyes with coexisting cataract and proliferative diabetic retinopathy. Setting: Eye Department, Beijing Tongren Hospital, China. Methods: Combined Phacoemulsification, posterior chamber intraocular lens (PCIOL) implantation with pars plana vitrectomy was done in 123 eyes with proliferative diabetic retinopathy (PDR) and coexisting cataract. Postoperative vision, number of secondary procedures and surgical complications were analyzed. Results: All 123 eyes underwent combined surgery. The average follow-up was 10 months. Ninety nine eyes (81%) experienced postoperative vision improvement of varying degrees. Vision improved by 2 lines or more in 93 eyes (76%). No apparent corneal edema or corneal decompensation were encountered. One patient with type one diabetes developed neovascular glaucoma 6 months after surgery. Retinal detachment occurred and reoperated in 1 eye. Vitreous hemorrhage requiring secondary procedure happened to 4 eyes. All 24 eyes (19%) without vision improvement were found to be with diabetic maculopathy. Conclusions: Combined phacoemulsification with pars plana vitrectomy can be used as an effective surgical strategy against PDR with coexisting cataract, which facilitates earlier vision improvement, reduces the risk of surgical complications from vitrectomized cataract operation as well as the number of surgery. Diabetic maculopathy is the major cause of poor vision improvement.
