Combined pars plana vitrectomy and cataract surgery: Outcome of phacoemulsification versus manual extracapsular cataract extraction through a sclerocorneal tunnel

Ruth Axer-Siegel, Gad Dotan, Irit Rosenblatt, Yoav Benjamini, Dov Weinberger

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)94-98
Number of pages5
JournalOphthalmic Surgery Lasers and Imaging
Volume37
Issue number2
DOIs
StatePublished - 2006

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