April 2014
Volume 55, Issue 13
ARVO Annual Meeting Abstract  |   April 2014
Cataract Formation After Small Gauge Vitrectomy
Author Affiliations & Notes
  • Adam Sise
    Georgetown University Hospital, Washington, DC
    Retina Group of Washington, Chevy Chase, MD
  • Tanuj Banker
    Georgetown University Hospital, Washington, DC
    Retina Group of Washington, Chevy Chase, MD
  • Eric Weichel
    Retina Group of Washington, Chevy Chase, MD
  • Footnotes
    Commercial Relationships Adam Sise, None; Tanuj Banker, None; Eric Weichel, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 1566. doi:
  • Views
  • Share
  • Tools
    • Alerts
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Adam Sise, Tanuj Banker, Eric Weichel; Cataract Formation After Small Gauge Vitrectomy. Invest. Ophthalmol. Vis. Sci. 2014;55(13):1566.

      Download citation file:

      © ARVO (1962-2015); The Authors (2016-present)

  • Supplements

Purpose: To identify the prevalence and rate of cataract surgery after strictly small gauge retinal detachment repair (23 or 25 gauge) which has not been well established in the literature, and to evaluate long term visual outcomes after cataract extraction (CE) in vitrectomized eyes.

Methods: Retrospective case series from 2011 through 2012 by one group of retina surgeons performing primary RD repair using either 23 or 25 gauge pars plana vitrectomy (PPV) instrumentation with or without scleral buckle (SB). Exclusion criteria included preoperative proliferative vitreoretinopathy, postoperative retinal re-detachment, pre-existing macular disease, previous PPV or SB, documented follow-up of less than 3 months, and patients with prior CE. Main outcome measures included rate and time of CE following PPV. Secondary outcome measures included degree of visual improvement following CE, and evaluation of risk factors such as age and use of SB.

Results: A total of 86 patients were identified, mean age 56 years ±9.98, followed for a mean of 470 days ±263. 47 eyes underwent CE during the follow-up period. There was no significant difference in age between those who did or did not receive CE (p=0.11). Mean time to CE was 278 days ±144 with no significant difference between those eyes that had macula-on or macula-off detachments (p=0.52). The final LogMAR visual acuity (BCVA) was 0.215 ±0.343 (20/30) for eyes that underwent CE, and 0.429 ±0.386 (20/50) for those that did not undergo CE (p=0.01). Further analysis into mac-on vs mac-off detachments revealed a significant improvement in final acuity for those with mac-off detachments who underwent subsequent CE (p=0.03), while those with mac-on detachments did not reach significance (p=0.15). There was no significant relationship between those patients who received a SB at the time of PPV and underwent CE (p=0.22). Total follow-up time was significantly longer for those patients that ultimately received CE (mean 587 days ±211 vs 352 days ±261, p<0.0001).

Conclusions: Development of visually significant cataracts after small gauge vitrectomy for retinal detachment repair remains a common occurrence despite newer small gauge techniques. These cataracts can significantly decrease vision even in eyes with macula-off detachments. While most patients undergo CE within one year, long term follow-up for cataract formation is essential. Patient age and the use of SB does not affect the risk of cataract formation following PPV.

Keywords: 445 cataract • 697 retinal detachment  

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.