Changes in Anterior Chamber Depth after Combined Phacovitrectomy

Abstract

Objectives:To evaluate changes in anterior chamber depth (ACD) and postoperative refractive outcomes after combined phacovitrectomy.Materials and Methods:This study included 10 eyes of 10 patients that underwent combined phacovitrectomy (study group) and 14 eyes of 14 patients that underwent phacoemulsification surgery (control group) at İstanbul Medipol University Ophthalmology Department. Preoperative and 3-month postoperative best corrected visual acuity (BCVA), ACD, change in ACD and refractive outcomes were compared between the two groups.Results:Preoperative ACD, postoperative ACD at 3 months and change in ACD were similar between two groups (p=0.403, p=0.886, p=0.841). Postoperative mean refractive outcomes were 0.22±0.51 diopter in the phacovitrectomy group and -0.39±0.53 diopter in the phacoemulsification group (p=0.019). BCVA was increased in both groups (p=0.001).Conclusion:Postoperative refractive outcomes in eyes that underwent combined phacovitrectomy are different from those in eyes that underwent only phacoemulsification surgery. This is important in determining preoperative intraocular lens power before combined phacovitrectomy.

Cataract Surgery in Post-Vitrectomized Eyes

“…Mijnsbrugge et al [61] reported a more posterior position of the IOL in the phacovitrectomy group compared to single phacoemulsification group, attributed to loss of vitreous support. Gülkilik, Neudorfer and Li [62][63][64] described no significant change in ACD postoperatively in phacovitrectomy group. And Hamoudi and Huang [65,66] found an earlier position of IOL secondary to capsular fibrosis.…”