Safety of Polyacrylamide 1.5% Left in Anterior Chamber in Combined Phacoemulsification and Pars Plana Vitrectomy Surgery

Karaca, Emine Esra; Özdek, Şengül; Özmen, Mehmet Cüneyt; Dursun, Ayhan; Yalçın, Nuriye Gökçen

doi:10.3109/02713683.2015.1039652

Cited by 5 publications

(7 citation statements)

References 20 publications

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“…On the contrary, cataract surgery could be challenging in a previously vitrectomized eye; numerous conditions, like capsular and zonular problems, iris-lens extrapulsion syndrome, were reported; hence, previous studies advocated pars plana vitrectomy with combined phacoemulsification [17, 18]. Combined surgery helps minimizing the economic cost [11]. As a last, but not least advantage, combined surgery presumably allows quicker visual rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…Karaca and co-workers [11] pointed some concerns in phacovitrectomy. These are difficulty in maintaining the anterior chamber depth particularly during scleral indentation, diminished posterior view due to endothelial stria, IOL decentration, and passing of the tamponade into the anterior chamber due to zonular problems.…”

Section: Discussionmentioning

confidence: 99%

“…Up to date, the results of combined phacoemulsification and pars plana vitrectomy (PPV) have been evaluated by numerous reports [2–10]. The combo procedure allows faster recovery, thus enhancing cost-effectivity [11, 12].…”

Section: Introductionmentioning

confidence: 99%

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Outcome and Complications of Combined Phacoemulsification and 23-Gauge Pars Plana Vitrectomy

Esen

Isik

Çam

et al. 2019

Journal of Ophthalmology

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Background. With the advances in surgical tools, simultaneous removal of cataract associated with vitreoretinal disorders is gaining popularity. This combined surgery offers several advantages besides limitations. The aim of this study is to assess the outcome and complications of phacoemulsification combined with pars plana vitrectomy (PPV). Patients and Methods. In this retrospective review, medical charts of patients undergoing phacovitrectomy for coexisting cataract and various vitreoretinal disorders were analyzed. Patient demographics, retinal diagnosis, visual acuities (VA) in logMAR, intraocular pressure (IOP), intraoperative and postoperative complications were assessed. Clear corneal phacoemulsification and 23-gauge transconjunctival PPV were administered in all cases. Results. Eighty-four eyes of 64 (76.2%) males and 20 (23.8%) females were enrolled. The average age of patients was 59.5 ± 13.8 (18–81). The average period of follow-up was 7.2 ± 7.5 months (1–36). The vitreoretinal diagnoses were as follows: 28 (33.3%) rhegmatogenous retinal detachment, 23 (27.4%) vitreous hemorrhage, 12 (14.3%) intraocular foreign body, 12 (14.3%) epiretinal membrane, 4 (4.8%) macular hole, 4 (4.8%) tractional retinal detachment, and 1 (1.2%) vitreomacular traction. The most common intraoperative complications were miosis and rupture of the posterior capsule (92.9% and 8.3%, respectively). In 8 (9.5%) cases, there was fibrin in the anterior chamber. Posterior synechia developed in 7 (8.3%) of cases. No severe increase in intraocular pressure was evident. Conclusion. Phacoemulsification combined with PPV is a safe and efficient way of management in cases where cataract coexists with vitreoretinal pathologies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Outcome and Complications of Combined Phacoemulsification and 23-Gauge Pars Plana Vitrectomy

Esen

Isik

Çam

et al. 2019

Journal of Ophthalmology

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“…7 Various studies have evaluated the results of combined phaco-vitrectomy, the combined approach allows faster visual recovery and has cost effectivity for patient. [8][9] We made two groups of patients with phakic Rhegmatogenous RD, in the Group A, the first Group, phaco-vitrectomy for retinal detachment in the same sitting whereas in the Group B, the second Group, only vitrectomy will be performed for retinal detachment. We compared their postoperative visual and anatomical outcomes.…”

Section: Introductionmentioning

confidence: 99%

Anatomical and Visual Outcome of Combined Phaco-Vitrectomy vs Vitrectomy Alone

Muslim

Khan

Chaudhry

2021

Pak Postgrad Med J.

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Introduction Separation of Neurosensory retina from RPE(Retinal Pigment Epithelium) is described as retinal detachment. Recently Pars plana vitrectomy has emerged as a preferred surgical treatment for management of uncomplicated primary rhegmatogenous retinal detachment. Various studies have evaluated the results of combined phaco-vitrectomy, the combined approach allows faster visual recovery and has cost effectivity for patient. The rationale of this study is to compare the anatomical and visual outcome of combined phacoemulsification and vitrectomy vs vitrectomy alone Materials and methods This prospective randomized controlled trial was performed at Eye Unit II Mayo Hospital Lahore (tertiary care eye hospital in Lahore), Pakistan from August 2019 to February 2020. 36 patients full filling the inclusion criteria were divided into two groups 18 patients each. Group A was of combined Phaco-vitrectomy and Group B was of vitrectomy only. The Mann-whitney test as test of significance was applied and P≤0.05 was considered statistically significant. Results BCVA done Pre-operatively for Group A and B, P-value was > 0.05 which was insignificant. Best corrected visual acuity at first week post operatively was significantly lower in patients in which we used gasses as internal tamponade as compared those in which we used silicon oil as tamponade. The BCVA at 1 month showed improvements in both groups, however the BCVA in group B was significantly lower than group A, P-value being < 0.05. The BCVA at 3 month showed improvements in both groups, however the BCVA in group B was significantly lower than group A, P-value being < 0.05. Anatomical Outcome was seen as weather retina was attached or detached. In Group A detachment was present in all follow-ups in 2/18 patients while in Group B detachment was present in all follow-ups in 3/18 patients. The P-value was >0.05 and thus the difference between two groups was insignificant. Conclusion visual acuity did not differ among the two groups preoperatively and on first follow-up at 1 week. The P value being >0.05 in both. However there was significant difference between the two group at 1 month and 3 months follow up, P value being < 0.05 in each. The visual acuity was significantly better in Group A i.e combined phaco- vitrectomy. For anatomical outcome no difference was seen between the groups. The P value was > 0.05. So the visual outcome of group A was significantly better than group B while the anatomical outcome was the same. Keywords Phacoemulsification, Three ports pars plana vitrectomy, best corrected visual acuity, retinal detachment.

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“…[2][3][4][5][6][7][8][9][10] The combined method facilitates a quicker recovery and thereby increases cost-effectiveness. [11][12][13] The purpose of this study was to investigate the results ofcombined phacoemulsification and PPV (phacovitrectomy)in our patients with coexisting cataract and miscellaneousvitreoretinal disorders.…”

Section: Introductionmentioning

confidence: 99%

Outcome and Complications of Phacoemulsification Combined with Pars Plana Vitrectomy

Abidin¹,

Rehman²,

Dayal³

2021

PJMHS

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Aim: To determine the outcomes of phacoemulsification also examine the complications associated to phacoemulsification combined with pars plana vitrectomy. Study design: Observational study Place and duration of study: Department of Ophthalmology, Khawaja Muhammad Safdar Medical College, Allama Iqbal Memorial Teaching Hospital, Sialkot, from 15th July 2020 to 14thJanuary 2021. Methodology: Twenty patients of both genders whom had undergoing phacovitrectomy were included. Patient’s ages were ranging from 20 to 80 years. Patient’s detailed medical histories were examined after taking informed consent. Patient’s retinal diagnosis, intraocular pressure, visual acuity, intra and post-operative complications were recorded. All the patients had received clear corneal phacoemulsification and 23-guage pars plana vitrectomy. Results: There were 15(75%) male patients while 5(25%) female patients with mean age was 54.52±12.45 years. Five patients (25%) had vitreos hemorrhage, 7(35%) patients had rhegmatogenous retinal detachment, 3(15%) patients had intraocular foreign body, 2(10%) had epiretinal membrane, 2(10%) had macular hole and 1(5%) had tractional retinal detachment. Miosis and rupture of posterior capsule were the most common intraoperative complications found in 85% and 10%. Fibrin was found in 3 (15%) cases, posterior synechia was found in 2 (10%) cases. Conclusion: The phacoemulsification with pars plana vitrectomy is safe and effective treatment modalities in patients with cataract coexist with vitreoretinal disease. Keywords: Phacoemulsification, Pars plana vitrectomy, Cataract, Complications, Outcomes

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Safety of Polyacrylamide 1.5% Left in Anterior Chamber in Combined Phacoemulsification and Pars Plana Vitrectomy Surgery

Abstract: Polyacrylamide 1.5% is safe, well-tolerated and protective in eyes undergoing combined phacoemulsification and pars plana vitrectomy.

Cited by 5 publications

References 20 publications

Outcome and Complications of Combined Phacoemulsification and 23-Gauge Pars Plana Vitrectomy

Outcome and Complications of Combined Phacoemulsification and 23-Gauge Pars Plana Vitrectomy

Anatomical and Visual Outcome of Combined Phaco-Vitrectomy vs Vitrectomy Alone

Outcome and Complications of Phacoemulsification Combined with Pars Plana Vitrectomy

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