title: Phacoemulsification and pars plana vitrectomy: a combined procedure.
abstract: OBJECTIVE
  To describe the results of a combined procedure including phacoemulsification, insertion of posterior chamber intraocular lens (PCIOL) and pars plana vitrectomy (PPV) in eyes with vitreoretinal pathology and coexisting significant cataract.
  
  
  METHODS
  Retrospective, consecutive, noncomparative, interventional case series.
  
  
  METHODS
  Medical records of patients who had undergone phacoemulsification, PPV and PCIOL implantation as a combined procedure between January 2000 and December 2004 were retrospectively reviewed. The main outcome measures were the anatomical success of retina, defined as reattached retina, intraoperative and postoperative complications and functional success in terms of final best corrected visual acuity.
  
  
  RESULTS
  In all, 65 eyes of 64 patients were included. The mean age of the patients was 50.9 years +/- 17.1 (range, five to 82 years). Vitreous hemorrhage with or without retinal detachment (19 eyes, 29.2%) was the most common indication for the vitreoretinal procedure. Primary anatomical success of retina was achieved in 59 eyes (90.7%). Visual acuity improved in 48 eyes (73.8%), was unchanged in 12 eyes (18.5%) and deteriorated in five eyes (7.7%). Postoperative inflammation was significantly more in the subgroup of previously vitrectomized eyes (42%) (P =0.014, Fisher exact test) compared to those which underwent primary vitrectomy.
  
  
  CONCLUSIONS
  Combined surgery is a feasible option for patients with vitreoretinal diseases and cataract.
authors: Department of Cornea and External Diseases, Aditya Jyot Eye Hospital Pvt. Ltd, Wadala, Mumbai, India. docvandanajain@rediffmail.com
authors: Vandana
authors: V
authors: Jain
authors: Dharmesh
authors: D
authors: Kar
authors: S
authors: S
authors: Natarajan
authors: Debraj
authors: D
authors: Shome
authors: Hitendra
authors: H
authors: Mehta
authors: Hijab
authors: H
authors: Mehta
authors: Chaitra
authors: C
authors: Jayadev
authors: Nishikant
authors: N
authors: Borse
mesh_terms: D002386:Cataract / Q000150:complications; D002387:Cataract Extraction; D005128:Eye Diseases / Q000150:complications / Q000601:surgery*; D006801:Humans; D019654:Lens Implantation, Intraocular; D018918:Phacoemulsification; D012164:Retinal Diseases / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D014821:Vitrectomy; D014822:Vitreous Body