First Author: P.Romero-Aroca SPAIN
Co Author(s): M. Baget-Bernaldiz J. Mercado C. Blasco-Suñe 0 0 0 0 0 0 0 0 0
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The aim of this study is to determine the differences in combined versus two sequential surgeries, as observed in our retina unit after 12 years follow up
Ophthalmology Service of Hospital Universitari Sant Joan de Reus, Institut d’Investigació Sanitària Pere Virgili (IISPV), Universitat Rovira i Virgili, Reus, Spain
A retrospective case series study over a sample of 2638 patients who underwent posterior vitrectomy. The exclusion criteria included previous anterior segment surgery (cataract, glaucoma etc.). Patients were divided into three groups: patients in group one had vitrectomy followed by cataract surgery on the next day (902 patients),with 12 year follow-up, a second group with patients undergoing combined vitrectomy plus cataract surgery with the Millennium platform between the years 2002 to 2009 (339 patients), and the third group of patients had combined surgery with the Stellaris platform from the year 2010 to date (493 patients). We analyzed the different techniques (20G versus 25G), complications and visual rehabilitation of the three groups.
Overall, the number of combined surgery cases increased over time, with a higher use of phacoemulsification plus 25-Gauge vitrectomy in the last four years (44.99% in the third group vs 23.26% in the first and second groupss). The final visual outcome is similar in the three groups. The most important differences between groups were the postoperative complications. In group 1, a higher intraoperative incidence of nucleus loss and posterior capsule rupture during surgery, with a higher frequency of retinal breaks and cystic macular edema after surgery was observed. In group 2, the most frequent complication was postoperative hypotension in cases using 25G-vitrectomy, Group 3 had the lowest incidence of complications. Time of combined surgery decreased from 56.16 ± 11.49 minutes in group 2 to 39.32 ± 9.42 minutes in group 3
Although all techniques are valid for the management of the cataract and vitrectomy, the number of combined surgeries increased in the last 12 years, with a preference for phacoemulsification plus 25 Gauge vitrectomy in the last four years.