Visual outcome and complications of cataract extraction after pars plana vitrectomy

Purpose: To evaluate the visual outcomes and complications of phacoemulsification in previously vitrectomized eyes. Patients and methods: A retrospective analysis of 87 consecutive vitrectomized eyes (87 patients) which had undergone phacoemulsification with intraocular lens implantation between 201...

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Autores: Rey, Amanda, Jürgens Mestre, Ignasi, Maseras, Xavier, Dyrda, Agnieszka, Pera, Patricia, Morilla Grasa, Antonio
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:20.500.12328/2435
Acceso en línea:http://hdl.handle.net/20.500.12328/2435
https://dx.doi.org/10.2147/OPTH.S161223
Access Level:acceso abierto
Palabra clave:Cataractes -- Cirurgia
Lents intraoculars
Retina -- Cirurgia
Oftalmologia
Cataratas (Oftalmología) -- Cirugía
Lentes intraoculares
Retina -- Cirugía
Oftalmología
Cataract -- Surgery
Intraocular lenses
Retina -- Surgery
Ophthalmology
61
617
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spelling Visual outcome and complications of cataract extraction after pars plana vitrectomyRey, AmandaJürgens Mestre, IgnasiMaseras, XavierDyrda, AgnieszkaPera, PatriciaMorilla Grasa, AntonioCataractes -- CirurgiaLents intraocularsRetina -- CirurgiaOftalmologiaCataratas (Oftalmología) -- CirugíaLentes intraocularesRetina -- CirugíaOftalmologíaCataract -- SurgeryIntraocular lensesRetina -- SurgeryOphthalmology61617Purpose: To evaluate the visual outcomes and complications of phacoemulsification in previously vitrectomized eyes. Patients and methods: A retrospective analysis of 87 consecutive vitrectomized eyes (87 patients) which had undergone phacoemulsification with intraocular lens implantation between 2013 and 2016. Results: The mean interval from pars plana vitrectomy (PPV) to cataract surgery (CS) was 18.8 months. Mean age at CS was 61.5 years. Intraoperative complications included anterior rhexis tear (1 eye) and hyphema (1 eye). Postoperative complications included macular edema (17.2%, mean 42 days), posterior capsule opacification (13.8%, mean 14 months), ocular hypertension (11.5%), and anterior uveitis (1.1%). Preoperative mean best-corrected visual acuity improved from 20/50 to 20/25. Ninety-one percent of the eyes gained 2 or more lines, and 95% achieved visual acuity ≥20/40 after CS. Preoperative mean spherical equivalent improved from -4.35 to -0.17. Eyes with clear lens prior to the PPV had later CS (clear lens 27.1 vs no clear lens 9.7 months; p=0.016). Patients >55 years with clear lens at PPV (n=21) had earlier CS than younger ones with clear lens (n=24) (11.8 vs 40.5 months; p=0.033). Mean follow-up was 14.5 months. Conclusion: Phacoemulsification is a safe procedure in vitrectomized eyes, with substantial gains in vision in most cases. Patients of advanced age and eyes without clear lens prior to the PPV had earlier CS.info:eu-repo/semantics/publishedVersionDove Press2018info:eu-repo/semantics/article6http://hdl.handle.net/20.500.12328/2435https://dx.doi.org/10.2147/OPTH.S161223reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésClinical Ophthalmology12;This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.https://creativecommons.org/licenses/by-nc/3.0/info:eu-repo/semantics/openAccessoai:recercat.cat:20.500.12328/24352026-05-29T05:05:01Z
dc.title.none.fl_str_mv Visual outcome and complications of cataract extraction after pars plana vitrectomy
title Visual outcome and complications of cataract extraction after pars plana vitrectomy
spellingShingle Visual outcome and complications of cataract extraction after pars plana vitrectomy
Rey, Amanda
Cataractes -- Cirurgia
Lents intraoculars
Retina -- Cirurgia
Oftalmologia
Cataratas (Oftalmología) -- Cirugía
Lentes intraoculares
Retina -- Cirugía
Oftalmología
Cataract -- Surgery
Intraocular lenses
Retina -- Surgery
Ophthalmology
61
617
title_short Visual outcome and complications of cataract extraction after pars plana vitrectomy
title_full Visual outcome and complications of cataract extraction after pars plana vitrectomy
title_fullStr Visual outcome and complications of cataract extraction after pars plana vitrectomy
title_full_unstemmed Visual outcome and complications of cataract extraction after pars plana vitrectomy
title_sort Visual outcome and complications of cataract extraction after pars plana vitrectomy
dc.creator.none.fl_str_mv Rey, Amanda
Jürgens Mestre, Ignasi
Maseras, Xavier
Dyrda, Agnieszka
Pera, Patricia
Morilla Grasa, Antonio
author Rey, Amanda
author_facet Rey, Amanda
Jürgens Mestre, Ignasi
Maseras, Xavier
Dyrda, Agnieszka
Pera, Patricia
Morilla Grasa, Antonio
author_role author
author2 Jürgens Mestre, Ignasi
Maseras, Xavier
Dyrda, Agnieszka
Pera, Patricia
Morilla Grasa, Antonio
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Cataractes -- Cirurgia
Lents intraoculars
Retina -- Cirurgia
Oftalmologia
Cataratas (Oftalmología) -- Cirugía
Lentes intraoculares
Retina -- Cirugía
Oftalmología
Cataract -- Surgery
Intraocular lenses
Retina -- Surgery
Ophthalmology
61
617
topic Cataractes -- Cirurgia
Lents intraoculars
Retina -- Cirurgia
Oftalmologia
Cataratas (Oftalmología) -- Cirugía
Lentes intraoculares
Retina -- Cirugía
Oftalmología
Cataract -- Surgery
Intraocular lenses
Retina -- Surgery
Ophthalmology
61
617
description Purpose: To evaluate the visual outcomes and complications of phacoemulsification in previously vitrectomized eyes. Patients and methods: A retrospective analysis of 87 consecutive vitrectomized eyes (87 patients) which had undergone phacoemulsification with intraocular lens implantation between 2013 and 2016. Results: The mean interval from pars plana vitrectomy (PPV) to cataract surgery (CS) was 18.8 months. Mean age at CS was 61.5 years. Intraoperative complications included anterior rhexis tear (1 eye) and hyphema (1 eye). Postoperative complications included macular edema (17.2%, mean 42 days), posterior capsule opacification (13.8%, mean 14 months), ocular hypertension (11.5%), and anterior uveitis (1.1%). Preoperative mean best-corrected visual acuity improved from 20/50 to 20/25. Ninety-one percent of the eyes gained 2 or more lines, and 95% achieved visual acuity ≥20/40 after CS. Preoperative mean spherical equivalent improved from -4.35 to -0.17. Eyes with clear lens prior to the PPV had later CS (clear lens 27.1 vs no clear lens 9.7 months; p=0.016). Patients >55 years with clear lens at PPV (n=21) had earlier CS than younger ones with clear lens (n=24) (11.8 vs 40.5 months; p=0.033). Mean follow-up was 14.5 months. Conclusion: Phacoemulsification is a safe procedure in vitrectomized eyes, with substantial gains in vision in most cases. Patients of advanced age and eyes without clear lens prior to the PPV had earlier CS.
publishDate 2018
dc.date.none.fl_str_mv 2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12328/2435
https://dx.doi.org/10.2147/OPTH.S161223
url http://hdl.handle.net/20.500.12328/2435
https://dx.doi.org/10.2147/OPTH.S161223
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Clinical Ophthalmology
12;
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by-nc/3.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc/3.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 6
dc.publisher.none.fl_str_mv Dove Press
publisher.none.fl_str_mv Dove Press
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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