Professional paper
Combined Sutureless Procedure: Phacoemulsification with Intraocular Lens Implantation and 25 Gauge Pars Plana Vitrectomy
Damir Kovačević
Tea Mance
Tamara Mišljenović
Abstract
Since its introduction in 2002, 25-gauge transconjunctival vitrectomy (25G TSV) has become popular throughout the world. With proper patient selection, this sutureless technique is safe for the surgeon and comfortable for the patient. Every patient over age 50 will develop cataract after vitrectomy procedure. Combined sutureless procedures should be taken in consideration when thinking about patient comfort undergoing single act surgery with no stitches. Twenty eyes of 20 consecutive patients with cataract and vitreoretinal pathology were operated on using combined phacoemulsification, intraocular lens implantation and 25G TSV. Indications for surgical interventions were diabetic vitreous hemorrhage, vitreous opacities, vitreomacular traction syndrome and diabetic macular edema. Surgery related complications, visual outcome and intraocular pressure (IOP) were evaluated. The mean follow up was 4 months. The mean visual acuity was finger counting (light perception to 0.2) preoperatively and 0.3 (range 0.05-1.0) postoperatively. Corneal incision needed suture in one case and scleral in two cases. The mean IOP was l8.5 preoperatively (range 13-22 mm Hg) and 13.5 mm Hg on postoperative day 1 (range 10-16 mm Hg). Two eyes showed IOP in the second week, and three had recurrent vitreous hemorrhage. Capsule opacification was observed in two eyes, anterior chamber fibrin reaction in two eyes and retinal detachment in one eye. Combined cataract and 25G TSV surgery provide a safe and efficient technique that improves patient comfort with minimal complications owing to the sutureless nature of the procedures.
Keywords
25 gauge; Sutureless vitrectomy; Combined surgery
Hrčak ID:
22762
URI
Publication date:
1.4.2008.
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