| Comparison between Combined Surgery and Sequential Surgery in Performing Phacoemulsification, Pars Plana Vitrectomy, and IOL Implantation in non-diabetic Patients. |
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Tae Young Chung, Hum Chung, Jin Hak Lee |
1Department of Ophthalmology, Seoul National University College of Medicine, Korea. jjhlee@plaza.snu.ac.kr
2Artificial Eye Laboratory, Seoul National University Hospital Clinical Research Institute, Korea. |
| 비당뇨병 환자에서 초음파유화술 인공수정체삽입술 및 유리체절제술의 동시수술과 단계적수술의 임상결과 비교 |
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정태영 ( Tae Young Chung ) , 정흠 ( Hum Chung ) , 이진학 ( Jin Hak Lee ) |
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| Abstract |
PURPOSE
To evaluate the effectiveness and safety of combined phacoemulsification, pars plana vitrectomy and IOL implantation in non-diabetic patients, and to compare the clinical results with that of sequential surgery. METHODS: The results of combined phacoemulsification, pars plana vitrectomy and IOL implantation in 15 patients (15 eyes) were retrospectively analyzed. Major outcome measures were pre-and postoperative best-corrected visual acuity (BCVA), postoperative BCVA 0.5 or better, and postoperative complications. Comparison between the combined surgery in 12 eyes and sequential surgery in 9 eyes were also analyzed for the same outcome measures. RESULTS: Of the 15 eyes postoperative visual acuity improved in 14 eyes (93.3%), and BCVA 0.5 or better was achieved in 6 eyes (40.0%). Of the 15 eyes postoperative complications consisted of transient IOP increase in 8 eyes (53.3%), hyphema in 4 eyes (26.7%), retinal detachment in 3 eyes (20.0%), vitreous hemorrhage in 2 eyes (13.3%), anterior chamber fibrin exudation in 2 eyes (13.3) and posterior capsular rupture in 2 eyes (13.3%). The difference in complications between the combined surgery group and sequential surgery group were not statistically significant. CONCLUSION: Combined surgery in selected patients is a safe and effective approach, and the outcome is comparable to sequential surgery. |
| Key Words:
Combined surgery;IOL implantation;Pars plana vitrectomy;Phacoemulsification;Sequential surgery |
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