Phacoemulsification cataract surgery in vitrectomized eyes

Lacalle, Victoria Díaz; Gárate, Francisco Javier Orbegozo; Alday, N. Martínez; Garrido, José Antonio López; Agesta, J Aramberri

doi:10.1016/s0886-3350(98)80135-1

Cited by 67 publications

(51 citation statements)

References 7 publications

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“…8 Several explanations have been proposed for these phenomena, and range from the loss of the vitreous scaffold to the stretching of the zonules by expansile gas and damage to the zonular apparatus during vitrectomy. [7][8][9] Our study suggests that these changes are more likely to be encountered in eyes that have had multiple or extensive vitrectomies for retinal detachment or proliferative diabetic retinopathy. No difficulties were encountered in our patients who had limited 'core vitrectomy' with or without gas tamponade for macula hole or for epiretinal membrane.…”

Section: Discussionmentioning

confidence: 89%

Phacoemulsification and intraocular lens implantation following pars plana vitrectomy: a prospective study

Ah-Fat

Yuen

Groenewald

2003

Eye

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Aims To examine the intraoperative characteristics of phacoemulsification in eyes that had undergone pars plana vitrectomy and to determine complication rates and visual outcomes. Methods A prospective study of 45 consecutive cataract operations on vitrectomised eyes performed over a 9-month period by a single surgeon. Data were collected on preoperative characteristics, intraoperative observations and complications, postoperative complications, and visual acuities.

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Section: Discussionmentioning

confidence: 89%

Phacoemulsification and intraocular lens implantation following pars plana vitrectomy: a prospective study

Ah-Fat

Yuen

Groenewald

2003

Eye

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“…14,15 Absence of the vitreous body may lead to increased mobility of the lens capsule diaphragm and altered intraocular fluid dynamics. 16 Use of the femtosecond laser is feasible in cataract surgery due to its ultrafast pulses and low energy required for tissue disruption mitigating collateral damage. 5 Efficient and reproducible, laser corneal incisions, anterior capsulotomy and lens fragmentation theoretically provide advantages for vitrectomized eyes.…”

Section: Discussionmentioning

confidence: 99%

Femtosecond laser–assisted cataract surgery in vitrectomized eye with posterior chamber phakic intraocular lens

et al. 2017

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SummaryWe describe a case of femtosecond laser-assisted cataract surgery (FLACS) in an eye with multiple comorbidities, including retinal detachment surgery, high myopia, posterior chamber phakic intraocular lens (PC pIOL) and residual, emulsified, silicone oil located in the anterior chamber. FLACS was affected by the optical blockage, but the incomplete capsular tear was recoverable. The case suggests that silicone oil bubbles concentrated at the dome of the posterior corneal surface, along with the PC pIOL optic edges and scars after corneal astigmatic relaxing incisions can lead to incomplete anterior capsulotomy.

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“…The most important features proposed for this difference are the lack of vitreous support and possible damage to the posterior capsule or zonular fibres. 27 In addition, reducing the total number of hospital consultations and individual operations reduces the financial costs incurred.…”

Section: Simultaneous Phacoemulsificationmentioning

confidence: 99%

Outcomes of macular hole surgery: implications for surgical management and clinical governance

Jaycock

Bunce

Xing

et al. 2004

Eye

102

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Purpose The optimal method and timing of the surgical treatment for idiopathic macular holes remains unknown. The aim of this retrospective study was to identify factors associated with anatomical and visual success in macular hole surgery. Methods Case records of 55 patients undergoing macular hole surgery at three units in the 2-year period up to July 2002 were reviewed to identify factors associated with anatomical and visual success. The following potential prognosticators were evaluated: patient age, hole stage, hole latency prior to surgery, preoperative acuity, simultaneous phacoemulsification, and intraocular lens implantation, internal limiting membrane peeling with and/or without indocyanine green, and postoperative posturing. Results The duration of preoperative symptoms, indocyanine green-assisted internal limiting membrane peeling, hole stage, and better preoperative visual acuity were associated with both anatomical success and regaining a postoperative visual acuity of 6/12 or better. Discussion The closure rate in patients undergoing surgery within 1 year of onset was 94.0%, and in those waiting 1 year or more it was 47.4%. Clinical governance and quality issues should dictate that NHS macular hole surgery is available to all within 1 year of onset. This study showed no adverse effect of ICG dye retinal staining. The results support the use of a 'patientfriendly' approach of simultaneous cataract surgery with no prone postoperative posturing.

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Phacoemulsification cataract surgery in vitrectomized eyes

Cited by 67 publications

References 7 publications

Phacoemulsification and intraocular lens implantation following pars plana vitrectomy: a prospective study

Phacoemulsification and intraocular lens implantation following pars plana vitrectomy: a prospective study

Femtosecond laser–assisted cataract surgery in vitrectomized eye with posterior chamber phakic intraocular lens

Outcomes of macular hole surgery: implications for surgical management and clinical governance

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