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Na-Kyung Ryoo, Sang Joon Park, Se Joon Woo, Kyu Hyung Park; Posterior or Anterior vitrectomy in the managment of vitreal loss from posterior capsular rupture during cataract operation. Invest. Ophthalmol. Vis. Sci. 2016;57(12):4471.
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© ARVO (1962-2015); The Authors (2016-present)
To compare the efficacy between 23-gauge sutureless pars plana vitrectomy (PPV) and anterior vitrectomy in the management of vitreous loss associated with posterior capsular rupture (PCR) during cataract surgery.
Medical records of 139 eyes which sustained PCR and vitreal prolapse to anterior chamber during cataract surgery were retrospectively reviewed. Thirty two eyes which underwent 23-gauge sutureless pars plana vitrectomy (group PPV) and 107 eyes which underwent anterior vitrectomy (group AntV) were compared in postoperative visual and anatomic outcomes, operation time, and complications.
No significant differences were found between the groups in final best-corrected visual acuity of 20/40 or better (AntV vs. PPV = 80.4% vs. 90.6%, P=0.139). However, the visual recovery rates (20/40 or better) 1 day, 1 week, 1 month postoperatively were significantly higher in group PPV (antV vs PPV = 22.4 % vs. 44%, 32.2 vs 58.6 %, 51.9 vs. 78.1%)). Postoperative IOP-related complications requiring medication were less evident in group PPV (antV vs. PPV = 52.3 % vs. 6.3%, P<0.001). Twelve cases (11.2%) of group AntV and 0 cases of group PPV underwent secondary operation during follow-up. While no postoperative complications occurred in group PPV, complications—such as endophthalmitis, retinal detachment, cystoid macular edema , IOL instability –were observed in the AntV group (none vs. 14%, p= 0.022 ).
23-gauge sutureless PPV is a safe and reliable solution for managing vitreous loss during cataract surgery. Therefore, it is expected to be considered primarily in institutes with vitreoretinal surgeons.
This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.
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