Original scientific paper
Phacoemulsification, Vitrectomy and the Implantation of an Intraocular Lens in Diabetic Patients
Zoran Vatavuk
Goran Benčić
Valentina Lacmanović Lončar
Ivanka Petric
Zdravko Mandić
Abstract
The purpose of this study was to evaluate results of combined phacoemulsification, intraocular lens implantation
and pars plana vitrectomy in patients with advanced diabetic retinopathy. We retrospectively evaluated postoperative
outcomes and complications in 102 eyes of 102 patients who underwent a combined procedure. All patients had a visually
significant cataract. Forty two patients had vitreous hemorrhage and mild proliferative diabetic retinopathy.
Sixty patients had a mild tractional retinal detachment. The median follow up was 14 months (range 6–36 months).
80% of patients had an increase of visual acuity of at least 2 Snellen lines. The most frequent early postoperative complication
was elevated intraocular pressure, followed by mild fibrinous reaction. The most frequent late postoperative
complication was the presence of posterior synechia, followed by glaucoma. Eleven patients required a repeated pars
plana vitrectomy. Combined phacoemulsification, posterior chamber intraocular lens implantation and pars plana
vitrectomy can be successfully performed in selected diabetic patients with favorable postoperative outcome.
Keywords
phacoemulsification; vitrectomy; implantation; intraocular lens; diabetes type II
Hrčak ID:
27912
URI
Publication date:
20.6.2005.
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