Abstract
Abstract: :
Purpose:Cataract development is common in eyes after both pars plana vitrectomy (PPV) and scleral buckle (SB) surgery. The purpose of this study was to describe the intraoperative course, postoperative course, and visual outcomes of patients undergoing Kelman phacoemulsification (KPE) and intraocular lens (IOL) implantation after both PPV and SB surgery Methods:Clinical records, and operative reports were reviewed for demographic information, preoperative ocular history and visual acuity, intraoperative course and complications, postoperative course and complications, and final visual outcome. Results:14 eyes of 13 patients were included in this study. For patients status–post combined PPV and SB, the mean interval until KPE was 34 months. For patients status–post SB followed by PPV, the mean interval from initial surgery until KPE was 53 months. For patients status–post PPV followed by SB, the mean interval from initial surgery until KPE was 14 months. The median preoperative visual acuity was 20/100. The most common intraoperative complication was fluctuation in anterior chamber depth, occurring in 2 of 14 (14%) eyes. The most common early postoperative complication was blepharoptosis, occurring in 2 of 14 (14%) eyes. The most common late postoperative complication was posterior capsule opacification, occurring in 5 of 14 (35%) patients. Retinal re–detachment occurred in 1 (7%) eye. Visual acuity of 20/40 or better was achieved by 59% of the eyes at 6 weeks, and 67% of eyes by final examination. Conclusions:KPE and IOL implantation can be performed safely after PPV and SB surgery. Intraoperative and postoperative complications are uncommon. Patients may attain significant improvements in vision, however the underlying retinal pathology limits the final visual outcome.
Keywords: cataract • retina