title: Combining cataract surgery with 25-gauge high-speed pars plana vitrectomy: results from a retrospective study.
abstract: OBJECTIVE
  To report postoperative complications in eyes that underwent 25-gauge high-speed pars plana vitrectomy (25G HS-PPV) alone or combined with phaco-vitrectomy surgery for epiretinal membrane, vitreomacular traction, or macular hole.
  
  
  METHODS
  Retrospective, interventional case series.
  
  
  METHODS
  A total of 565 eyes were included in this study of vitreoretinal surgery performed from April 2011 to June 2012 by a single surgeon.
  
  
  METHODS
  Eyes were divided into 2 groups: group A included eyes that underwent phacoemulsification combined with 25G HS-PPV (348 eyes), and group B included pseudophakic eyes that underwent 25G HS-PPV alone (217 eyes). Follow-up was from a minimum of 4 months to a maximum of 14 months.
  
  
  METHODS
  To evaluate and statistically compare the postoperative complications of these 2 surgical groups.
  
  
  RESULTS
  During the follow-up, retinal detachment (RD) developed in 10 eyes (1.77%): 4 in group A and 6 in group B. Cystoid macular edema (CME) occurred in 5 eyes (0.87%): 3 in group A and 2 in group B. In 1 eye in group A, a dislocation in the anterior chamber of the posterior chamber intraocular lens was observed (0.18%). The statistical analysis, evaluated by the Fisher exact test, did not show a significant postoperative difference between these 2 surgical groups for RD (P = 0.19) or CME (P = 1.00).
  
  
  CONCLUSIONS
  The combination of cataract or lens phacoemulsification with 25G HS-PPV for vitreomacular diseases did not result in an increase in postoperative complications compared with 25G HS-PPV alone performed in pseudophakic eyes.
authors.affiliation: Ophthalmology Clinic, Seconda Università degli Studi di Napoli (SUN), Naples, Italy. Electronic address: alfonsosav02@hotmail.com.
authors.forename: Alfonso
authors.initials: A
authors.lastname: Savastano
authors.affiliation: Ophthalmology Department, Università Cattolica del Sacro Cuore, Rome, Italy.
authors.forename: Maria Cristina
authors.initials: MC
authors.lastname: Savastano
authors.affiliation: Ophthalmic Surgery Clinic, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Barca
authors.affiliation: Ophthalmic Surgery Clinic, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Petrarchini
authors.affiliation: Ophthalmology Clinic, Università Politecnica delle Marche, Ancona, Italy.
authors.forename: Cesare
authors.initials: C
authors.lastname: Mariotti
authors.affiliation: Ophthalmic Surgery Clinic, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
authors.forename: Stanislao
authors.initials: S
authors.lastname: Rizzo
mesh_terms: D000368:Aged; D019773:Epiretinal Membrane / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008866:Microsurgery; D018918:Phacoemulsification / Q000379:methods*; D011183:Postoperative Complications; D012167:Retinal Perforations / Q000601:surgery; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*