Three-year results of combined pars plana vitrectomy and phacoemulsification in diabetic vitreous hemorrhage

Authors : Mehmet Fatih KARADAĞ

Pages : 1128-1132

Doi:10.32322/jhsm.1129291

View : 23 | Download : 9

Publication Date : 2022-07-20

Article Type : Research Paper

Abstract :Aim: The purpose of this study was to evaluate the efficacy and safety of complications following combined pars plana vitrectomy and phacoemulsification surgery of the eyes for the management of vitreous hemorrhage due to proliferative diabetic retinopathy as well as pronounced cataracts. Material and Method: Phacoemulsification and 23G pars plana vitrectomy procedures were performed for the management of vitreous hemorrhage and cataracts. Age, gender, best-corrected visual acuity before and after surgery, and intra- and post-operative complications were recorded in patients with cataracts who underwent surgery due to vitreous hemorrhage. Results: A total of 40 eyes of 40 patients, 22 females insert ignore into journalissuearticles values(55%); and 18 males, were included in the study. The mean age was 58.7±7.1 insert ignore into journalissuearticles values(44–76); years. Logmar visual acuity changed from a mean of 2.82±0.5 preoperatively to a mean of 0.7±0.6 postoperatively. Visual acuity increased in 38 eyes insert ignore into journalissuearticles values(95%); postoperatively. No reduction in visual acuity was observed in any eye. Complications associated with surgery included transient intraocular pressure increase insert ignore into journalissuearticles values(12 eyes);, hyphema insert ignore into journalissuearticles values(2 eyes);, posterior capsule rupture insert ignore into journalissuearticles values(1 eye);, anterior chamber fibrin exudation insert ignore into journalissuearticles values(4 eyes);, neovascular glaucoma insert ignore into journalissuearticles values(1 eye);, vitreous hemorrhage insert ignore into journalissuearticles values(4 eyes);, retinal detachment insert ignore into journalissuearticles values(1 eye);, and posterior capsule opacification insert ignore into journalissuearticles values(2 eyes);. Conclusion: It was found that combined phacoemulsification and PPV surgery was safe and effective in patients with proliferative diabetic retinopathy. Combined phaco-vitrectomy is a reliable method with a minimum complication profile and prevents the need for subsequent cataract surgery.
Keywords : Diabetic Retinopathy, Cataract, Phacoemulsification, Vitrectomy