HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Anterior segment complications after phacovitrectomy in diabetic and nondiabetic patients.

AbstractPURPOSE:
To evaluate early and late postoperative anterior segment complications of phacovitrectomy and foldable intraocular lens (IOL) implantation in eyes with cataract and coexisting vitreoretinal disease in diabetic and nondiabetic patients.
SETTING:
Department of Ophthalmology, Baskent University Hospital, Ankara, Turkey.
METHODS:
The records of 189 consecutive patients with cataract and posterior segment pathology necessitating phacovitrectomy were retrospectively analyzed. Patient profile, indications for surgery, preoperative findings, intraoperative and postoperative course, and postoperative outcome were evaluated. Phacoemulsification was performed through a clear corneal incision with IOL implantation prior to 23-G pars plana vitrectomy.
RESULTS:
There were 97 (51.3%) diabetic and 92 (48.6%) nondiabetic patients. The most common indications for surgery were vitreous hemorrhage (57; 58.7%), tractional detachment (35; 36%), and premacular hemorrhage (5; 5.1%) in diabetic patients, and rhegmatogenous retinal detachment (40; 43.4%), macular hole (22; 23.9%), epiretinal membrane (20; 21.7%), and vitreomacular traction (10; 10.8%) in nondiabetic patients. Early (within 4 weeks) postoperative complications included elevation of intraocular pressure, fibrinous uveitis, corneal edema, and development of posterior synechia. Long-term (after 4 weeks) complications included migration of silicone oil into the anterior chamber, posterior capsule opacification, and decentered IOL. The ratio of fibrinous uveitis, posterior synechia, and posterior capsule opacification was found higher in the diabetic group (all p<0.05).
CONCLUSIONS:
Combined vitreoretinal surgery and phacoemulsification is safe and effective in treating vitreoretinal abnormalities coexisting with cataract in diabetic and nondiabetic patients. Diabetic patients should be monitored more carefully for fibrinous uveitis and posterior synechia in the early postoperative period and for posterior capsular opacification in the late postoperative period.
AuthorsEylem Yaman Pinarci, Sezin Akca Bayar, Selcuk Sizmaz, Nilufer Yesilirmak, Imren Akkoyun, Gursel Yilmaz
JournalEuropean journal of ophthalmology (Eur J Ophthalmol) 2013 Mar-Apr Vol. 23 Issue 2 Pg. 223-9 ISSN: 1724-6016 [Electronic] United States
PMID23065855 (Publication Type: Journal Article)
Topics
  • Aged
  • Anterior Eye Segment
  • Cataract (complications)
  • Diabetes Complications
  • Endotamponade
  • Eye Diseases (etiology)
  • Humans
  • Lens Implantation, Intraocular
  • Middle Aged
  • Phacoemulsification
  • Postoperative Complications
  • Retinal Diseases (complications)
  • Retrospective Studies
  • Vitrectomy
  • Vitreoretinal Surgery
  • Vitreous Body (pathology)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: