First Author: N.M.Yenerel TURKEY
Co Author(s): N.Y. Erçalık H.A. Sanisoğlu E. Türkseven Kumral 0 0 0 0 0 0 0 0 0
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To compare intraoperative and postoperative complications of phacoemulsification between sequential and combined 23- gauge vitrectomy and cataract surgery.
Haydarpaşa Numune Training and Research Hospital,Istanbul
We retrospectively reviewed the records of 376 patients who underwent phacoemulsification in a vitrectomized eye (sequential group) and 458 patients who underwent combined 23-gauge vitrectomy and phacoemulsification (combined group). Main outcome measures were intraoperative and postoperative complications of phacoemulsification surgery. Surgical indications were a progressed cataract with various retinal conditions.
The primary indications for vitrectomy were vitreous hemorrhage, idiopathic epiretinal membrane, macular hole and retinal detachment, The mean postoperative follow-up time was between 6 and 42 months (mean:16 months). The most common intraoperative complication during phacoemulsification was posterior capsule rupture with a higher rate in the sequential group (4.8% versus 1.5%). The most common postoperative complication was fibrinous exudation which occured more in the combined group (8.1% versus 4.5%).
Both sequential and combined 23-Gauge vitrectomy and phacoemulsification surgeries are safe. However, the higher rate of posterior capsular rupture risk in vitrectomized patients should be kept in mind. Sequential surgery could be advantageous to minimize the postoperative anterior chamber inflammation.