title: Femtophacovitrectomy. Case series and description of the technique.
abstract: OBJECTIVE
  The aim of this study was to assess the safety and surgical results of combined pars plana vitrectomy and femtosecond laser-assisted cataract surgery (femtophacovitrectomy).
  
  
  METHODS
  A prospective, non-comparative case series was conducted by selecting patients with cataract and vitreoretinal pathology who underwent femtophacovitrectomy by a single surgeon at the Hospital Central Militar between June 2013 and February 2014. An evaluation was made of the preoperative characteristics, surgical indications, results, and postoperative complications, with a minimum follow-up of 3 months.
  
  
  RESULTS
  The study included 35 eyes of 35 patients, of whom 20 (57.1%) were male. The mean age was 60.76±4.2 years. Diagnoses included vitreous haemorrhage (19 cases), macular hole (6 cases), epiretinal membrane (7), and tractional detachment (5 cases). The mean best corrected visual acuity was 1.3 LogMAR before surgery, and 0.5 LogMAR at 3-months follow-up (P<.05). No patient had visual loss. The intra-operative complication was miosis in 14.28%. In the early postoperative period (<1 month), all had subconjunctival haemorrhage, with moderate corneal oedema in 20% of cases, and only 2.85% (one case) ocular hypertension associated with use of intraocular gas. There were no cases of endophthalmitis. The mean follow-up was 13.3 months (10-16 months).
  
  
  CONCLUSIONS
  The use of femtosecond laser in phacovitrectomy is a safe and effective alternative, with similar risk of complications in cases of macular pathology, tractional retinal detachment, and/or vitreous haemorrhage.
authors.affiliation: Alta Especialidad en Retina y Vítreo, Subsección de Retina, Sección de Oftalmología, Hospital Central Militar, Ciudad de México, México; Alta Especialidad en Córnea y Segmento Anterior, Subsección de Córnea y Segmento Anterior, Sección de Oftalmología, Hospital Central Militar, Ciudad de México, México. Electronic address: moya5339@yahoo.com.mx.
authors.forename: J O
authors.initials: JO
authors.lastname: Moya Romero
authors.affiliation: Subsección de Retina, Sección de Oftalmología, Hospital Central Militar, Ciudad de México, México.
authors.forename: G A
authors.initials: GA
authors.lastname: Ochoa Máynez
authors.affiliation: Subsección de Córnea y Segmento Anterior, Sección de Oftalmología, Hospital Central Militar, Ciudad de México, México.
authors.forename: M A
authors.initials: MA
authors.lastname: Cantero Vergara
authors.affiliation: Alta Especialidad en Retina y Vítreo, Subsección de Retina, Sección de Oftalmología, Hospital Central Militar, Ciudad de México, México; Alta Especialidad en Córnea y Segmento Anterior, Subsección de Córnea y Segmento Anterior, Sección de Oftalmología, Hospital Central Militar, Ciudad de México, México.
authors.forename: C A
authors.initials: CA
authors.lastname: Gómez Cortes
mesh_terms: D000368:Aged; D002387:Cataract Extraction / Q000379:methods*; D005260:Female; D006801:Humans; D053685:Laser Therapy; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011446:Prospective Studies; D012164:Retinal Diseases / Q000601:surgery*; D014821:Vitrectomy; D014823:Vitreous Hemorrhage / Q000601:surgery*
keywords: Cataract surgery; Cirugía de catarata; Facovitrectomía; Femtofacovitrectomía; Femtophacovitrectomy; Femtosecond laser; Láser de femtosegundo; Pars plana vitrectomy; Phacovitrectomy; Vitrectomía pars plana