SURGICAL AND FUNCTIONAL RESULTS OF 27-GAUGE VITRECTOMY COMBINED WITH COAXIAL 1.8 MM MICROINCISION CATARACT SURGERY: A Consecutive Case Series. Issue 11 (November 2016)

• Record Type: Journal Article
• Authors: Pavlidis, Mitrofanis; Körber, Norbert; Höhn, Fabian
• Is Part Of: Retina. Volume 36:Issue 11(2016:Nov.)
• Publication Date: 2016-11
• Subjects: cataract -- microincision -- phacoemulsification -- phacovitrectomy -- vitrectomy; Retina -- Diseases -- Periodicals; Retinal Diseases; Vitreous Body; 617.735
• DOI: 10.1097/IAE.0000000000001052
• Languages: English
• ISSNs: 0275-004X

Abstract

Abstract : Purpose: To investigate outcomes after coaxial 1.8 mm microincision cataract surgery combined with 27-gauge vitrectomy (MICVIT) in eyes with vitreoretinal disease and age-related cataract. Methods: A single-center, retrospective case series study of 62 subjects (62 eyes) with a mean age of 70 years who underwent combined microincision phacoemulsification, intraocular lens implantation, and 27-gauge vitrectomy during the 12-month period to January 2015. Intraoperative and postoperative complications, and visual results were the main outcome measures. Results: The mean follow-up period was 6 months (range 2–10 months). Intraoperative findings were retinal break (9.7%) and one posterior capsule tear (1.6%). No cases required corneal or scleral suture, or conversion to larger-gauge vitrectomy. Postoperative complications consisted of posterior capsule opacification (8%), elevated intraocular pressure >30 mmHg (6.4%), retinal detachment (1.6%), and fibrin reaction (1.6%). There were no cases of hypotony (<9 mmHg), intraocular lens decentration, or postoperative endophthalmitis. Visual acuity improved 3 Early Treatment of Diabetic Retinopathy Study (EDTRS) score lines from 0.48 ± 0.4 logMAR (20/60) preoperatively to 0.17 ± 0.23 logMAR (20/30) at final postoperative visit ( P = 0.001). Conclusion: Findings suggest 27-gauge vitrectomy combined with microincision phacoemulsification and intraocular lens implantation is feasible, safe, and effective as a 1-step surgical procedure for the management of vitreoretinal pathologies and concurrent cataract. Abstract : Surgical and visual outcomes of a single-center, retrospective case series review of 62 patients suggest 27-gauge vitrectomy combined with 1.8 mm microincision phacoemulsification (MICVIT) and lens implantation is a feasible, safe, and effective one-session procedure for the surgical management of vitreoretinal pathologies and concurrent cataract.