title: Anterior segment complications after phacoemu-lsification combined vitrectomy and foldable intraocular lens implantation.
abstract: OBJECTIVE
  To evaluate the anterior segment complications of phacovitrectomy and foldable intraocular lens (IOL) implantation in eyes with significant cataract and co-existing vitreoretinal diseases.
  
  
  METHODS
  This retrospective study was consisted of 285 eyes of 238 patients with various vitreoretinal abnormalities and visually significant cataracts. Vitreoretinal surgery was combined with phacoemulsification and foldable IOL implantation. Main outcome measures were visual acuity, the preoperative data, and the anterior segment complications at postoperative 6 to 72 months.
  
  
  RESULTS
  The most common indications for surgery were non-diabetic vitreous hemorrhage, proliferative diabetic retinopathy. Preoperative vision ranged from 20/30 to light perception and postoperative vision ranged from 20/20 to no light perception. Postoperatively, in 245 eyes (85.9%), visual acuity improved by 3 lines or more on the Snellen chart. In 24 eyes (8.4%), vision remained within 3 lines of preoperative levels and in 16 eyes (5.6%), vision had decreased at the last follow-up. The most common anterior segment pathological change was PCO in 50 eyes (17.5%), the second was corneal edema in 32 eyes (11.2%) and the third was elevated IOP in 31 eyes (10.8%).
  
  
  CONCLUSIONS
  The combined vitreoretinal surgery and phacoemulsification with foldable IOL implantation is safe and effective.
authors.affiliation: State Key Laboratory Cultivation Base, China National Optometry Center, Eye Hospital, Wenzhou Medical College, Wenzhou 325027, Zhejiang Province, China.
authors.forename: Qin-Xiang
authors.initials: QX
authors.lastname: Zheng
authors.forename: Rong-Han
authors.initials: RH
authors.lastname: Wu
authors.forename: Yuan-Ping
authors.initials: YP
authors.lastname: Zhang
authors.forename: Ming
authors.initials: M
authors.lastname: Xu
authors.forename: Wen-Sheng
authors.initials: WS
authors.lastname: Li