J Korean Ophthalmol Soc.  2002 May;43(5):814-818.

Comparison between Combined Surgery and Sequential Surgery in Performing Phacoemulsification, Pars Plana Vitrectomy, and IOL Implantation in non-diabetic Patients

• Chung TY
• Chung H
• Lee JH

Abstract

PURPOSE: To evaluate the effectiveness and safety of combined phacoemulsification, pars plana vitrectomy and IOL implantation in non-diabetic patients, and to compare the clinical results with that of sequential surgery.
METHODS
The results of combined phacoemulsification, pars plana vitrectomy and IOL implantation in 15 patients (15 eyes) were retrospectively analyzed. Major outcome measures were pre-and postoperative best-corrected visual acuity (BCVA), postoperative BCVA 0.5 or better, and postoperative complications. Comparison between the combined surgery in 12 eyes and sequential surgery in 9 eyes were also analyzed for the same outcome measures.
RESULTS
Of the 15 eyes postoperative visual acuity improved in 14 eyes (93.3%), and BCVA 0.5 or better was achieved in 6 eyes (40.0%). Of the 15 eyes postoperative complications consisted of transient IOP increase in 8 eyes (53.3%), hyphema in 4 eyes (26.7%), retinal detachment in 3 eyes (20.0%), vitreous hemorrhage in 2 eyes (13.3%), anterior chamber fibrin exudation in 2 eyes (13.3) and posterior capsular rupture in 2 eyes (13.3%). The difference in complications between the combined surgery group and sequential surgery group were not statistically significant.
CONCLUSION
Combined surgery in selected patients is a safe and effective approach, and the outcome is comparable to sequential surgery.

Keyword

Combined surgery; IOL implantation; Pars plana vitrectomy; Phacoemulsification; Sequential surgery

MeSH Terms

Anterior Chamber
Fibrin
Humans
Hyphema
Outcome Assessment (Health Care)
Phacoemulsification*
Postoperative Complications
Retinal Detachment
Retrospective Studies
Rupture
Visual Acuity
Vitrectomy*
Vitreous Hemorrhage
Fibrin