PARS PLANA VITRECTOMY COMBINED WITH CATARACT EXTRACTION: A Comparison of Surgical Outcomes Using Single-Piece and Multipiece Foldable Intraocular Lenses.

Abstract

PURPOSE:

To assess whether complication rates are comparable between phacovitrectomy using multipiece lenses versus single-piece foldable intraocular lenses.

METHODS:

Single-center, multisurgeon retrospective comparative consecutive interventional case series. Two hundred and seventy-one patients undergoing combined phacovitrectomy performed during a single session at a university-based ophthalmology practice from 2004 to 2013 were identified, of whom 184 met study inclusion criteria; 56.4% patients had diabetes mellitus.

RESULTS:

There was no difference in the total incidences of postoperative complications between combined surgery using single-piece and multipiece intraocular lenses (P = 0.80) or among individual complications between the 2 groups, including synechiae (2.7 vs. 5.3%; P = 0.61), pupillary capture (0.7 and 2.6%; P = 0.36), and lens subluxation (1.4 and 0%; P > 0.99). There was no difference in the incidences of complications in patients with diabetes mellitus compared with nondiabetic patients undergoing phacovitrectomy (P = 0.13). Complication rates did not differ between single-piece and multipiece lenses with the use of postoperative intravitreal tamponade (P = 0.67).

CONCLUSION:

Single-piece, acrylic intraocular lenses are associated with a low rate of surgical complications after combined phacovitrectomy and represent an acceptable alternative to multipiece foldable intraocular lenses under the circumstances and using the surgical techniques implemented in this study.

• Authors: Yannek I Leiderman, Michael T Andreoli, Belinda Sun, Sherif Dawood
• Journal: Retina (Philadelphia, Pa.) (Retina) Vol. 35 Issue 6 Pg. 1059-64 (Jun 2015) ISSN: 1539-2864 [Electronic] United States
• PMID: 25932548 (Publication Type: Comparative Study, Journal Article, Research Support, N.I.H., Extramural)

Chemical References

• Polymethyl Methacrylate

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Child
• Child, Preschool
• Female
• Humans
• Lens Implantation, Intraocular
• Lenses, Intraocular
• Male
• Middle Aged
• Phacoemulsification
• Polymethyl Methacrylate
• Postoperative Complications
• Prosthesis Design
• Retrospective Studies
• Visual Acuity
• Vitrectomy