Posterior capsule opacification following 20- and 23-gauge phacovitrectomy (posterior capsule opacification following phacovitrectomy)

Iwase, Takeshi; Oveson, Brian C.; Nishi, Yutaro

doi:10.1038/eye.2012.193

Cited by 17 publications

(17 citation statements)

References 19 publications

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“…14,15 A number of factors contribute to PCO formation after PPPV, including increased surgical manipulation and inflammation, the use of long-acting gas tamponade, and postoperative posturing. 16 Also, it has been shown by Iwase et al 14 that PCO rates are lower following a transconjunctival 23-G phacovitrectomy when compared with 20-G phacovitrectomy.…”

Section: Discussionmentioning

confidence: 99%

Microincision cataract surgery combined with vitrectomy: a case series

Jalil

Steeples

Subramani

et al. 2014

Eye

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Section: Discussionmentioning

confidence: 99%

Microincision cataract surgery combined with vitrectomy: a case series

Jalil

Steeples

Subramani

et al. 2014

Eye

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“…; Iwase et al. ). Additionally micro incision cataract surgery alone has been associated with high incidence of PCO (Schriefl et al.…”

Section: Discussionmentioning

confidence: 96%

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

Czajka

Frajdenberg

Johansson

2016

Acta Ophthalmologica

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ABSTRACT.Purpose: To compare 1.8 mm micro-incision and 2.75 mm standard incision in coaxial cataract surgery combined with 23-Gauge (23G) vitrectomy with respect to intraoperative and postoperative complications and outcomes. Methods: In this prospective study 30 eyes of 30 patients planned for combined phacoemulsification and 23G vitrectomy were enrolled, and randomized to undergo either Standard 2.75 mm Incision Cataract Surgery (SICS, 15 eyes) or Coaxial 1.8 mm Micro-Incision Cataract Surgery (C-MICS, 15 eyes) followed by vitrectomy. Inclusion criteria were cataract and macular disorders including macular hole, epiretinal membrane and vitreomacular traction. Data were collected at preoperative evaluation and 1 and 12 months or more after surgery. Results: Incision leakage occurred in two eyes (7%: one per group), retinal break in nine (30%: four in C-MICS, five in SICS). Fibrin in anterior chamber (AC) occurred day 1 in three eyes (10%: two C-and one SICS). Posterior capsule opacification developed in 22 eyes (78%: 13 MICS, nine SICS, p = 0.1). A myopic shift of À0.63 AE 0.7 was noted (À0.59 AE 0.8 MICS, À0.68 AE 0.6 SICS, p = 0.74). Surgically induced astigmatism (SIA) was significantly smaller in C-MICS group (DKP, À0.019 AE 0.095 versus À0.141 AE 0.219, p = 0.0038) at 1 month but not at final follow-up (DKP, 0.0005 AE 0.16 in C-MICS versus À0.057 AE 0.12, p = 0.3 Conclusions: Both techniques were equally safe with respect to intraoperative and postoperative findings. Coaxial micro-incision cataract surgery (C-MICS) was associated with less surgically-induced astigmatism (SIA) 1 month after surgery but differences were not statistically significant at final follow-up indicating a faster refractive recovery with C-MICS than with SICS.

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“…Other manoeuvres which improve intraoperative visualisation of the macula in addition to the extraction of a significant cataract are: suturing the corneal incision instead of stromal hydration, which also favours maintenance of the anterior chamber during insertion of the microcannulas, and performing a posterior capsulotomy during pars plana vitrectomy prior to ERM and/or internal limiting membrane peeling. In this way, postoperative opacification of the posterior capsule is prevented [22,23,24,25,26], achieving more durable visual recovery [19] and assuring a good visualisation of the fundus to monitor retinal pathologies [25,26]. Nd:YAG capsulotomy in previously vitrectomised patients is not free from complications [27].…”

Section: Discussionmentioning

confidence: 99%

Combined 23-Gauge Vitrectomy and Femtosecond Laser-Assisted Cataract Surgery

Gómez-Resa

Nieto²,

Corcóstegui³

2014

Ophthalmic Res

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Background: The aim of this study was to assess the safety and surgical results of femtosecond laser-assisted phacovitrectomy. Methods: A retrospective analysis of the medical records of patients over 50 years of age with vitreoretinal pathology, who had undergone pars plana vitrectomy using 23-gauge instruments and femtosecond laser-assisted cataract surgery and implantation of an intraocular lens, was performed at the Instituto de Microcirugía Ocular between June 2012 and September 2013. The diameter of the anterior capsulorhexis was set at 4.8 mm in cases where a gas tamponade was used and at 5 mm in all other cases. During the pars plana vitrectomy, posterior capsulotomy was performed on all eyes. An assessment was carried out of preoperative characteristics, surgical indications, postoperative results and complications. Only patients with a minimum of 3 months of follow-up were included. Results: A total of 21 eyes in 21 patients (71.4% women) were treated. Mean age (±SD) was 65.8 ± 6.4 years (range 53-76). The most common indication for surgery was epiretinal membrane (61.9%), followed by vitreous haemorrhage (23.8%) and macular hole (14.3%). The mean preoperative best corrected visual acuity (BCVA) was 0.81 ± 1.01 logMAR and the mean postoperative BCVA was 0.12 ± 0.19 logMAR (p = 0.003). 85.7% of patients improved their visual acuity. The remaining patients maintained their visual acuity. The only intraoperative complication related to femtosecond laser was 1 case of suction loss (4.8%). A patient with rhegmatogenous retinal detachment discovered during surgery required an additional circular scleral procedure and developed synechiaes in the early postoperative period (<1 month). There were no cases of subluxation of the intraocular lens. Mean follow-up was 6 months (range 3-14). Conclusions: The application of femtosecond laser in phacovitrectomy is a safe and effective technique that presents advantages compared to conventional techniques in cases of macular pathology and/or vitreous haemorrhage.

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Posterior capsule opacification following 20- and 23-gauge phacovitrectomy (posterior capsule opacification following phacovitrectomy)

Cited by 17 publications

References 19 publications

Microincision cataract surgery combined with vitrectomy: a case series

Microincision cataract surgery combined with vitrectomy: a case series

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

Combined 23-Gauge Vitrectomy and Femtosecond Laser-Assisted Cataract Surgery

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