TY - JOUR
T1 - Combined pars plana vitrectomy and cataract surgery
T2 - Outcome of phacoemulsification versus manual extracapsular cataract extraction through a sclerocorneal tunnel
AU - Axer-Siegel, Ruth
AU - Dotan, Gad
AU - Rosenblatt, Irit
AU - Benjamini, Yoav
AU - Weinberger, Dov
PY - 2006
Y1 - 2006
N2 - BACKGROUND AND OBJECTIVE: To compare the results of combined pars plana vitrectomy and cataract extraction with intraocular lens implantation by phacoemulsification versus manual extracapsular cataract extraction through a sclerocorneal tunnel. PATIENTS AND METHODS: Retrospective chart review of all patients who underwent combined pars plana vitrectomy with intraocular lens implantation and phacoemulsification or extracapsular cataract extraction through a sclerocorneal tunnel between March 1992 and July 2002. RESULTS: Fifty-four eyes of 51 patients were evaluated. Mean age was 69.68 ± 9.11 years, and mean follow-up was 9 months. Phacoemulsification was performed in 35 cases (64%) and manual extraction in 19 cases (36%). Visual acuity improved from mean logarithm of the minimal angle of resolution 1.69 ± 0.54 before surgery to 1.22 ± 0.76 after surgery. There was a greater improvement of visual acuity in the phacoemulsification group (0.59 ± 0.67) than in the extracapsular cataract extraction group (0.22 ± 0.68) (P = .06). Final visual acuity was correlated to the vitreoretinal pathology. Ultrasound biomicroscopy showed well-positioned foldable or rigid intraocular lens in the bag or in the sulcus. CONCLUSION: Combined cataract extraction by phacoemulsification or extracapsular cataract extraction through sclerocorneal tunnel and pars plana vitrectomy are safe and effective procedures.
AB - BACKGROUND AND OBJECTIVE: To compare the results of combined pars plana vitrectomy and cataract extraction with intraocular lens implantation by phacoemulsification versus manual extracapsular cataract extraction through a sclerocorneal tunnel. PATIENTS AND METHODS: Retrospective chart review of all patients who underwent combined pars plana vitrectomy with intraocular lens implantation and phacoemulsification or extracapsular cataract extraction through a sclerocorneal tunnel between March 1992 and July 2002. RESULTS: Fifty-four eyes of 51 patients were evaluated. Mean age was 69.68 ± 9.11 years, and mean follow-up was 9 months. Phacoemulsification was performed in 35 cases (64%) and manual extraction in 19 cases (36%). Visual acuity improved from mean logarithm of the minimal angle of resolution 1.69 ± 0.54 before surgery to 1.22 ± 0.76 after surgery. There was a greater improvement of visual acuity in the phacoemulsification group (0.59 ± 0.67) than in the extracapsular cataract extraction group (0.22 ± 0.68) (P = .06). Final visual acuity was correlated to the vitreoretinal pathology. Ultrasound biomicroscopy showed well-positioned foldable or rigid intraocular lens in the bag or in the sulcus. CONCLUSION: Combined cataract extraction by phacoemulsification or extracapsular cataract extraction through sclerocorneal tunnel and pars plana vitrectomy are safe and effective procedures.
UR - http://www.scopus.com/inward/record.url?scp=33645498118&partnerID=8YFLogxK
U2 - 10.3928/1542-8877-20060301-03
DO - 10.3928/1542-8877-20060301-03
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AN - SCOPUS:33645498118
SN - 1542-8877
VL - 37
SP - 94
EP - 98
JO - Ophthalmic Surgery Lasers and Imaging
JF - Ophthalmic Surgery Lasers and Imaging
IS - 2
ER -