Comparison of 1.8‐mm incision versus 2.75‐mm incision cataract surgery in combined phacoemulsification and 23‐gauge vitrectomy

Czajka, Marcin; Frajdenberg, Agata; Johansson, Björn

doi:10.1111/aos.12998

Cited by 9 publications

(6 citation statements)

References 48 publications

(49 reference statements)

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“…However, in this study the 2.8 mm incision was used as the previous studies revealed no superiority for wound leakage between 2.8 and smaller incisions. 19,20…”

Section: Methodsmentioning

confidence: 99%

The safety and efficacy of phacoemulsification surgery in uncomplicated cataracts with and without an ophthalmic-viscosurgical-device

Akmaz

Kılıç

Duru³

2022

European Journal of Ophthalmology

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Purpose To compare and evaluate the results of phacoemulsification surgery involving and not involving an ophthalmic-viscosurgical-device (OVD). Methods A prospective, randomized controlled trial included 60 eyes of 60 patients scheduled to receive phacoemulsification surgery. In order of presentation, patients were randomized into two groups to undergo different surgical techniques: the OVD-free group ( n = 30) and the OVD group ( n = 30). Each patient’s operating time, total ultrasonography (U/S) time, cumulative dissipated energy (CDE), aspiration time, and volume of balanced salt solution (BSS) aspirated were recorded. At 1 day, 1 week, and 1 and 3 months postoperation, measurements of endothelial cell density (ECD) and intraocular pressure (IOP), were taken and compared between the groups. Results Total U/S time ( p = .567) and CDE ( p = .168) were similar between the groups. In the OVD group, operating time ( p = .011), aspiration time ( p < .001), and volume of BSS aspirated ( p < .001) were greater than in the OVD-free group. The change in ECD between the groups was not statistically significant at all visits ( p = .433, p = .147, p = .379, p = .534; respectively). Although IOP increased in the OVD group at 1 day postoperation ( p = .001), no difference emerged between the groups at 3 months postoperation ( p = .121). Conclusion Phacoemulsification surgery without an OVD took less time than with the OVD and caused no significant loss in ECD. Surgeons concerned about elevated IOP following cataract surgery should apply the OVD-free method.

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“…However, in this study the 2.8 mm incision was used as the previous studies revealed no superiority for wound leakage between 2.8 and smaller incisions. 19,20…”

Section: Methodsmentioning

confidence: 99%

The safety and efficacy of phacoemulsification surgery in uncomplicated cataracts with and without an ophthalmic-viscosurgical-device

Akmaz

Kılıç

Duru³

2022

European Journal of Ophthalmology

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“…In addition to an extra corneal incision, the intracameral approach could result in further iris trauma and pupil miosis and instability of anterior chamber, especially when using contact lenses visualization systems. [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Subconjunctival 0.1% epinephrine versus placebo in maintenance of mydriasis during vitrectomy: a randomized controlled trial

et al. 2018

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BackgroundPupil dilation and mydriasis maintenance throughout vitreoretinal surgeries are important to allow satisfactory fundus visualization and reduce risk of complications. The purpose of this study is to evaluate the role of subconjunctival epinephrine 0.1% injection in mydriasis maintenance during vitrectomy.MethodsNinety-nine consecutive patients undergoing vitrectomy were enrolled. All subjects were preoperatively dilated with tropicamide 1%. Each patient was randomly allocated either in the epinephrine or placebo group. In epinephrine group, patients were submitted to a 0.2 cc subconjunctival injection of a 0.1% epinephrine solution just before first incisions. In placebo group, the same procedure was performed with 0.2 cc of saline 0.9%. Horizontal pupil diameter was measured with calipers before and in the end of the procedure.ResultsPatients in the epinephrine group showed a significantly larger mean pupil diameter in the end of the surgery compared to placebo. There was a significant increase of mean pupil diameter from the beginning to the end of the surgery in such patients. Blood pressure was significantly higher in the epinephrine group than in placebo group. No other adverse effects were noted.ConclusionSubconjunctival epinephrine is effective for maintaining and increasing pupil size during vitrectomy, compared to placebo. Caution should be taken regarding intraoperative blood pressure levels.Trial registrationRBR; RBR-3qzhvg; Registered 8 May 2018—Retrospectively registered, http://www.ensaiosclinicos.gov.br/rg/RBR-3qzhvg/.

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“…However, fear of surgery-associated intraocular inflammation has limited the clinical application of such treatment. Recently, there has been increasing progress in combined surgical techniques for cataract and pars plana vitrectomy surgeries, such as micro-incision cataract surgery combined with 23G or 25G sutureless vitrectomy (micro-incision vitrectomy (MIVS)) [ 2 – 4 ]. Besides, combined surgery has been complicated in eyes with uveitis [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Cataract surgery combined with micro-incision vitrectomy in patients with behcet’s disease uveitis

Fan

Jia

et al. 2018

BMC Ophthalmol

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BackgroundThis study sought to report the outcomes of a combined cataract extraction, intraocular lens (IOL) insertion and micro-incision vitrectomy (MIVS) procedure for the treatment of Behcet uveitis.MethodsThis investigation involved the retrospective evaluation of a case series of patients with Behcet uveitis who underwent cataract extraction, IOL insertion and MIVS in a single surgical session at the same institution between January 2013 and November 2016. Outcome measures included visual acuity, inflammatory reaction, systemic anti-inflammatory medications, intraocular pressure (IOP) and complications.ResultsSeven eyes of seven patients with a mean age of 39.00 ± 5.54 years (range, 32 to 48 years) and a mean follow-up duration of 13.57 ± 5.83 months (range, 6 to 24 months) were studied; five patients with a history of well-controlled uveitis were included. All patients underwent cataract extraction and IOL implantation combined with MIVS. All patients received postoperative steroids, which were slowly tapered during the weeks after surgery. There were no significant complications related to the surgery. Overall, best-corrected visual acuity (BCVA) was improved from log MAR (logarithm of the minimum angle of resolution) 1.67 ± 0.67 preoperatively to log MAR 0.74 ± 0.35 postoperatively; this improvement was statistically significant (p < 0.05). All eyes were deemed quiet at follow-up, and no patients required the escalation of therapy for long-term uveitis control.ConclusionsThis retrospective series indicates that a procedure that combines phacoemulsification, IOL implantation and MIVS is a feasible technique for the removal of cataracts and pathologic vitreous in eyes with Behcet uveitis. This approach can restore vision without obvious complications.

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Comparison of 1.8‐mm incision versus 2.75‐mm incision cataract surgery in combined phacoemulsification and 23‐gauge vitrectomy

Cited by 9 publications

References 48 publications

The safety and efficacy of phacoemulsification surgery in uncomplicated cataracts with and without an ophthalmic-viscosurgical-device

The safety and efficacy of phacoemulsification surgery in uncomplicated cataracts with and without an ophthalmic-viscosurgical-device

Subconjunctival 0.1% epinephrine versus placebo in maintenance of mydriasis during vitrectomy: a randomized controlled trial

Cataract surgery combined with micro-incision vitrectomy in patients with behcet’s disease uveitis

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