title: Dealings between Cataract and Retinal Reattachment Surgery in PVR.
abstract: Introduction. To evaluate the impact of the eye lens status and oil side effects on the outcome of vitreoretinal surgery in retinal detachment with proliferative vitreoretinopathy (PVR) and a temporary silicone oil tamponade (SOT). Methods. 101 eyes were analyzed retrospectively and 103 eyes prospectively in regard to their retinal reattachment success rate and key factors for the outcome. Subgroup analysis of 27 eyes with Scheimpflug lens photography (SLP) before and after retinal reattachment service with SOT was performed. For SLP (65% phakic eyes) a Pentacam densitometry reference body with 3 mm diameter was chosen and 3 segments (anterior/mid/posterior) were evaluated separately after a quality check. Results. The retinal reattachment rate was highest in the prospective pseudophakic group (p = 0.039). Lens transparency loss occurred earlier in middle aged patients than in younger patients. Besides the nucleus, layers posterior and anterior to it showed specific transparency changes. The emulsification rate was higher when eyes had been operated on in the anterior chamber before retinal reattachment service. Conclusions. Retinal reattachment surgery seems to benefit from preoperative cataract removal. We found significant lens changes in the nucleus as well as in the layers anterior and posterior to it. This corresponds to the histology of the lens epithelium published before.
authors.affiliation: Vitreoretinal Unit, University Eye Hospital, Frankfurt/Main, 60590 Hessen, Germany.
authors.forename: Svenja
authors.initials: S
authors.lastname: Deuchler
authors.affiliation: Vitreoretinal Unit, University Eye Hospital, Frankfurt/Main, 60590 Hessen, Germany.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Singh
authors.affiliation: Vitreoretinal Unit, University Eye Hospital, Frankfurt/Main, 60590 Hessen, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Müller
authors.affiliation: University Eye Hospital, Frankfurt/Main, 60590 Hessen, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Kohnen
authors.affiliation: Institute of Biostatistics and Mathematical Modelling, University Hospital, Frankfurt/Main, 60590 Hessen, Germany.
authors.forename: Hanns
authors.initials: H
authors.lastname: Ackermann
authors.affiliation: Oculus Optikgeräte GmbH, Wetzlar, 35582 Hessen, Germany.
authors.forename: Joerg
authors.initials: J
authors.lastname: Iwanczuk
authors.affiliation: Vitreoretinal Unit, University Eye Hospital, Frankfurt/Main, 60590 Hessen, Germany.
authors.forename: Rachid
authors.initials: R
authors.lastname: Benjilali
authors.affiliation: Vitreoretinal Unit, University Eye Hospital, Frankfurt/Main, 60590 Hessen, Germany.
authors.forename: Frank
authors.initials: F
authors.lastname: Koch