title: Phacoemulsification combined with pars plana vitrectomy.
abstract: Phacoemulsification combined with pars plana vitrectomy was performed on seven patients with both cataracts and vitreoretinal disease. Six of the seven had a posterior chamber intraocular lens (PC-IOL) placed in the capsular bag following cataract extraction. Visual acuities ranging from light perception to hand movement preoperatively, postoperatively ranged from hand movement to 20/25. There were no perioperative complications. During an average follow-up of more than 6 months, neovascular glaucoma developed in one patient, and a conjunctival cyst in another. The PC-IOLs were well tolerated. The small limbal incision used in phacoemulsification allows better control during the vitrectomy procedure and ensures a water-tight wound. In addition, with the limbal approach, the posterior lens capsule is maintained, with all the attendant advantages.
authors.affiliation: Department of Ophthalmology, University of Utah Health Sciences Center, Salt Lake City 84132.
authors.forename: N
authors.initials: N
authors.lastname: Mamalis
authors.forename: M P
authors.initials: MP
authors.lastname: Teske
authors.forename: K R
authors.initials: KR
authors.lastname: Kreisler
authors.forename: P L
authors.initials: PL
authors.lastname: Zimmerman
authors.forename: A S
authors.initials: AS
authors.lastname: Crandall
authors.forename: R J
authors.initials: RJ
authors.lastname: Olson
mesh_terms: D000328:Adult; D000368:Aged; D002387:Cataract Extraction; D003131:Combined Modality Therapy; D005128:Eye Diseases / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012164:Retinal Diseases / Q000601:surgery*; D014792:Visual Acuity; D014821:Vitrectomy