Phacoemulsification outcomes and complications in vitrectomised versus non-vitrectomised eyes
- 3 March 2021
- journal article
- research article
- Published by Taylor & Francis Ltd in Clinical and Experimental Optometry
- Vol. 104 (8), 859-863
- https://doi.org/10.1080/08164622.2021.1878865
Abstract
Clinical relevance: Pars plana vitrectomy techniques have evolved in the recent years and the number of patients undergoing phacoemulsification for post-vitrectomy cataract has increased. Eye-care practitioners need to be aware of intraoperative complications and post-operative outcomes in previously vitrectomised eyes. Background: The aim of the present study is to compare the outcomes and related complications of phacoemulsification in previously vitrectomised versus non-vitrectomised eyes. Methods: This is a retrospective case-control study. Visual acuity, refractive outcomes, intra- and post-operative complications were analysed in consecutive phacoemulsification patients between January 2015 and August 2017. Patients with no post-operative data were excluded. Results: One hundred and forty-nine previously vitrectomised eyes and 608 non-vitrectomised eyes were included in the analysis. Previous pars plana vitrectomy was associated with worse logMAR visual acuity pre-operatively (0.75 ± 0.54 vs. 0.40 ± 0.33, p < 0.0001) and post-operatively (0.15 ± 0.29 vs. 0.09 ± 0.22, p = 0.014). There were no statistically significant differences between the two groups regarding refractive outcomes (p = 0.393) or posterior capsule rupture rate (p = 0.223). Previous pars plana vitrectomy was associated with a higher risk of post-operative macular oedema (p = 0.046) and posterior capsule opacification (p < 0.0001). Conclusions: Previous pars plana vitrectomy was not associated with a higher risk of intraoperative complications. However, a higher incidence of cystoid macular oedema and posterior capsule opacification were identified in the present study. Further research can provide insight into the mechanisms involved and any appropriate prevention strategies for these conditions.Keywords
This publication has 19 references indexed in Scilit:
- Surgery for post-vitrectomy cataractEmergencias, 2013
- Macular Edema Following Cataract Surgery in Eyes With Previous 23-Gauge Vitrectomy and Peeling of the Internal Limiting MembraneAmerican Journal of Ophthalmology, 2013
- COMPARISON OF INTRAOPERATIVE COMPLICATIONS OF PHACOEMULSIFICATION BETWEEN SEQUENTIAL AND COMBINED PROCEDURES OF PARS PLANA VITRECTOMY AND CATARACT SURGERYRetina, 2012
- Vitreoretinal influences on lens function and cataractPhilosophical Transactions B, 2011
- Cataract surgery after pars plana vitrectomyCurrent Opinion in Opthalmology, 2010
- REFRACTIVE OUTCOMES OF PHACOEMULSIFICATION AND INTRAOCULAR LENS IMPLANTATION AFTER PARS PLANA VITRECTOMYRetina, 2009
- Cataract extraction after retinal detachment repair by vitrectomy : visual outcome and complicationsEye, 2008
- The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studiesThe Lancet, 2007
- Vitrectomy surgery increases oxygen exposure to the lens: A possible mechanism for nuclear cataract formationAmerican Journal of Ophthalmology, 2005
- Phacoemulsification and intraocular lens implantation following pars plana vitrectomy: a prospective studyEye, 2003