Surgical results of pars plana vitrectomy combined with phacoemulsification.
OBJECTIVE
To evaluate the technical feasibility, safety, outcome, and incidence of complications after combined clear corneal phacoemulsification (PEA) with intraocular lens (IOL) implantation and vitreoretinal surgery.


METHODS
Combined operations of PEA and PPV were performed on 52 eyes of 52 patients with cataract and vitreoretinal diseases.


RESULTS
The mean follow-up time was (10.3+/-2.8) months. Postoperatively, visual acuity improved in 46 eyes (88.5%); was unchanged in 6 eyes (11.5%). The best-corrected visual acuities (BCVAs) were the following: 20/40 or better (9 eyes), 20/50 to 20/100 (24 eyes), 20/200 (5 eyes), 20/400 (10 eyes), and fingers counting (FC) to light perception (LP) (4 eyes). In 38 eyes BCVA was 20/200 or better, and in 9 eyes it was 20/40 or better postoperatively. Postoperative complications included posterior capsual opacification (7 eyes); secondary glaucoma (1 eye); and retinal detachment (2 eyes).


CONCLUSIONS
Although further studies are indicated, our study suggests that the combined operation of PPV, PEA and IOL implantation is safe and effective for patients. The visual outcome and complications depended primarily on underlying posterior segment pathology and were not related to the combined procedure technique.
Yang
Chong-qing
CQ
Zheyi Eye Center, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China. xulingxiao@zju.edu.cn
Tong
Jian-ping
JP
Lou
Ding-hua
DH
D000328:Adult; D000368:Aged; D002386:Cataract; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008027:Light; D008297:Male; D008875:Middle Aged; D010465:Perception; D018918:Phacoemulsification / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome; D014785:Vision, Ocular; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*