[Combined surgery for lens extraction, vitrectomy, and implantation in the diabetic patient using phacoemulsification versus phacofragmentation].
BACKGROUND
In diabetic patients, we often need to perform cataract and pars plana vitrectomy. Two different techniques are currently valid: 1) phacoemulsification and pars plana vitrectomy and 2)pars plana lensectomy and posterior vitrectomy.


METHODS
Retrospective study of two different groups of type 2 diabetic patients: those receiving 1) phacoemulsification and pars plana vitrectomy or 2) pars plana lensectomy and posterior vitrectomy.


RESULTS
On statistical analysis there were no differences in complications between the two groups. The effect on visual acuity was similar in both groups.


CONCLUSIONS
The association of cataract surgery and posterior vitrectomy is a valid technique for treating diabetic retinopathy complications. In the present study, the complications of the two techniques were similar, the most important concerning only anterior chamber opening in the first group.


CONCLUSIONS
The two techniques of cataract extraction and pars plana vitrectomy at the same time have no differences in their results and are valid for treatment of diabetic patients.
Romero
P
P
Ophthalmology Service, Hospital Universitario Sant Joan de Reus, Departamento de Medicina y Cirugía, Universidad Rovira y Virgili, Spain. promero@grupsagessa.com
Salvat
M
M
Almena
M
M
Baget
M
M
Méndez
I
I
D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction; D048909:Diabetes Complications / Q000601:surgery*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology / Q000209:etiology; D019654:Lens Implantation, Intraocular / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D014821:Vitrectomy / Q000009:adverse effects