[Combined cataract and macular disease surgery].
Cataract is frequently associated with vitreoretinal diseases. Moreover, cataract is one of the most frequent complications of pars plana vitrectomy. In cases of cataract associated with vitreoretinal diseases such as age-related macular degeneration complicated by massive submacular hemorrhage or macular hole, combined phacoemulsification and vitrectomy surgery in one session can be considered. Therefore, phacoemulsification performed before the pars plana vitrectomy for epiretinal membrane seems to be the best solution when preoperative cataract is present. In all cases, phacoemulsification with a corneal incision, insertion of a posterior capsule intraocular lens with a large diameter and a large anterior capsulorhexis are necessary.
Pagot-Mathis
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Service d'Ophtalmologie, Hôpital Rangueil - 50032, 31059 Toulouse CEDEX 9. pagot-mathis.v@chu-toulouse.fr
D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction; D006801:Humans; D008268:Macular Degeneration / Q000150:complications* / Q000601:surgery*; D018918:Phacoemulsification / Q000379:methods; D014821:Vitrectomy