Posterior Vitreous Detachment after Phacoemulsification with and without Anterior Chamber Maintainer

Abstract

The effect of anterior chamber maintainer on the incidence of posterior vitreous detachment after phacoemulsification. In the current study , our work is to inspect incidence of occurrence of PVD after one M and 3 Ms after uneventful phacoemulsification with and without ACM , In patients with complete vitreal attachment preoperatively . The current study ,revealed that the development of postoperative PVD after phacoemulsification at 1 month in 9.7% in group A and 15.2% in group B, While at 3 months PVD developed in 12.9% (8 eyes of 62 eyes) in group A, and 27.2% (25 eyes of 92 eyes) in group B. the incidence of PVD among group A between non-high myopic & high myopic patients , there were no significant difference at 1 month 5.6% and 15.4% and at 3 months were 8.3% and 19.2% in non-high myopic and high myopic patients respectively But in group B the incidence of PVD at 1 M and 3 Ms was significantly higher among high myopic patients than non-high myopia , at one month was 6.2% , 37.0% and at three months 13.8% , 59.3% in non-high myopia and high myopic patients respectively. Conclusions: The current study suggest that improving anterior chamber stability by using ACM especially in high myope patients and younger age minimize incidence of PVD after phacoemulsification surgery.