Combined phacoemulsification, pars plana vitrectomy, and posterior chamber intraocular lens insertion. Arch Ophthalmol 1992 Aug;110(8):1101-4
Date
08/01/1992Pubmed ID
1497524DOI
10.1001/archopht.1992.01080200081029Scopus ID
2-s2.0-0026712830 (requires institutional sign-in at Scopus site) 114 CitationsAbstract
Eighteen eyes with coexisting cataract and vitreoretinal disease underwent combined phacoemulsification, pars plana vitrectomy, and posterior chamber lens implantation. Preoperative vitreoretinal disease included nonclearing vitreous hemorrhage (eight eyes), vitreous hemorrhage and tractional retinal detachment (three eyes), tractional retinal detachment (one eye), epiretinal membranes (three eyes), peripheral uveitis (two eyes), and a retained intraocular metallic foreign body (one eye). Postoperative visual acuity improved in each case; 14 eyes achieved visual acuity between 20/20 and 20/80 during an average postoperative period of 11 months (range, 3 to 39 months). Perioperative complications included an iatrogenic retinal break (one eye) and pupillary block glaucoma (one eye). Four eyes required YAG laser capsulotomy postoperatively. Phacoemulsification did not interfere with corneal clarity, allowed water-tight wound closure during vitrectomy, and preserved the capsular bag, allowing endocapsular fixation of the posterior chamber lens. Combining phacoemulsification, posterior chamber lens implantation, and pars plana vitrectomy allows rapid visual rehabilitation and functional unaided vision in these eyes.
Author List
Koenig SB, Mieler WF, Han DP, Abrams GWMESH terms used to index this publication - Major topics in bold
AdultAged
Aged, 80 and over
Cataract
Cataract Extraction
Eye Diseases
Female
Humans
Lenses, Intraocular
Male
Middle Aged
Postoperative Complications
Postoperative Period
Retinal Diseases
Retrospective Studies
Ultrasonic Therapy
Visual Acuity
Vitrectomy
Vitreous Body
