Phacoemulsification combined with pars plana vitrectomy.
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.
Mamalis
N
N
Department of Ophthalmology, University of Utah Health Sciences Center, Salt Lake City 84132.
Teske
M P
MP
Kreisler
K R
KR
Zimmerman
P L
PL
Crandall
A S
AS
Olson
R J
RJ
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