Combining cataract surgery with 25-gauge high-speed pars plana vitrectomy: A prospective study. Issue 2 (March 2021)

• Record Type: Journal Article
• Authors: Savastano, Alfonso; Lenzetti, Chiara; Finocchio, Lucia; Bacherini, Daniela; Giansanti, Fabrizio; Tartaro, Ruggero; Piccirillo, Valerio; Savastano, Maria Cristina; Virgili, Gianni; Rizzo, Stanislao
• Is Part Of: European journal of ophthalmology. Volume 31:Issue 2(2021)
• Page Start: 673
• Page End: 678
• Publication Date: 2021-03
• Subjects: Epiretinal membrane -- macular hole -- pars plana vitrectomy -- phacoemulsification -- postoperative posterior segment/vitreous problems; Ophthalmology -- Periodicals; Eye -- Diseases -- Periodicals; 617.7005
• DOI: 10.1177/1120672120902030
• Languages: English
• ISSNs: 1120-6721

Abstract

Purpose: To compare visual outcome and postoperative complications of combined 25-gauge pars plana vitrectomy and phacoemulsification with vitrectomy alone surgery in patients with epiretinal membrane and macular hole. Methods: A total of 110 eyes (73 eyes with epiretinal membrane and 37 eyes with macular hole) were enrolled in this prospective study. The eyes were divided into two groups: Group A included 55 eyes which underwent phacovitrectomy at the same time and Group B included 55 eyes which underwent vitrectomy alone. Follow-up visits were at 1, 3, and 6 months. Results: The best-corrected visual acuity correlation by analysis of variance measurement showed statistically non-significant differences between the two groups ( p = 0.32). The post hoc analysis from baseline, 1°, 2°, and 3° follow-ups was not statistically significant ( p > 0.05). The most common postoperative complication was cystoid macular edema that has been detected in 11 patients (10%) (seven eyes in Group A and four eyes in Group B): 2 patients (1.8%) developed a chronic macular edema. Intraocular hypertension occurred in five eyes (4.5%) (three in Group A and two in Group B). Four eyes (3.6%) underwent another surgical procedure for a persistent macular hole (two in Group A and two in Group B). The intraocular lens repositioning was performed one day after surgery in three eyes (2.7%) (Group A). The mean preoperative visual acuity was not different between the two groups ( p = 0.80). Conclusion: No significative differences between combined surgery and vitrectomy alone have been detected, in terms of postoperative complications and visual outcome.