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Clinical outcome of 23g Trans-Conjunctival pars plana vitrectomy - a prospective comparison of Phaco-Vitrectomy with only vitrectomy in phakic eyes.
- Source :
-
Pakistan journal of medical sciences [Pak J Med Sci] 2017 Sep-Oct; Vol. 33 (5), pp. 1123-1127. - Publication Year :
- 2017
-
Abstract
- Objective: To evaluate the effectiveness and safety profile of combined phacoemulsification with 23G pars plana vitrectomy when compared to pars plana vitrectomy alone in phakic patients.<br />Methods: This study was performed at Al-Ehsan Eye Hospital (tertiary care eye hospital in Lahore, Pakistan) from January 2016 to August 2016. A total of 40 eyes in two equal groups of 20 eyes each, were enrolled in this prospective study. Group-A underwent combined phaco-vitrectomy, whereas Group-B underwent vitrectomy only for various vitreoretinal pathologies. We evaluated the safety of combined surgery, intra-operative and postoperative complications and short term surgical outcome.<br />Results: The most common reason for vitreoretinal intervention was rhegmatogenous retinal detachment followed by vitreous haemorrhage in combined study population. There was statistically significant difference in best corrected visual acuity pre-operatively and post operatively within the groups and between the groups. The most significant immediate post operative observation in Group-A was enhanced anterior chamber inflammation as compared to Group-B, whereas most signification observation in Group-B was development of visually significant cataract (35%) at 6 months follow-up. There was no other significant sequel or complication difference between both groups.<br />Conclusions: Combined phaco-vitrectomy is a safe and effective procedure with minimum complication profile and it avoids the need of subsequent cataract surgery.
Details
- Language :
- English
- ISSN :
- 1682-024X
- Volume :
- 33
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Pakistan journal of medical sciences
- Publication Type :
- Academic Journal
- Accession number :
- 29142550
- Full Text :
- https://doi.org/10.12669/pjms.335.13430