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Brian Tieu, Ching Jygh Chen, Suzanne Hoadley; Long-term surgical outcomes of concurrent pars plana vitrectomy and foldable scleral sutured posterior chamber intraocular lens implantation. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):5110.
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To assess the long-term visual outcomes and complications of pars plana vitrectomy (PPV) plus foldable scleral sutured posterior chamber intraocular lens implantation (FSSPCIOL).
A retrospective chart review of all eyes undergoing concurrent PPV and FSSPCIOL by a single surgeon (CJC) between April 2000 and September 2014 was performed. Patients were excluded if their medical records were unavailable, or if they had less than two months of follow-up. Patient demographics, surgical parameters, preoperative and postoperative visual acuities and postoperative complications were evaluated.
A total of 359 surgeries on 333 patients with a mean age of 55.3 years were included. The mean follow-up time was 14.2 months. Patients had surgery for the following reasons: 8.9% had retained lens fragments from previous cataract surgery, 21.7% had a dislocated IOL, 17% had trauma/ruptured globe, 13.4% had a complicated cataract, 27% were aphakic, 6.4% had an opacified IOL and 5.6% for other reasons. Overall log MAR visual acuity improved from 1.40 to 0.66, p< 0.0001. BCVA was >20/40 in 50.4%, <20/200 in 20.3%, and 29.3% were in between. There were 106 reported complications. 12% had vitreous hemorrhage, 3.6% had retinal detachment, 2.5% had pupillary capture and 1.1% had a dislocated FSSPCIOL.
This is one of the largest series on visual outcomes and surgical complications of PPV and SSPCIOL. It provides a greater understanding of the visual benefits and complication rates for this procedure and a better comparison to studies on alternative procedures such as implantation of an anterior chamber intraocular lens or iris-lens fixation.
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