| Lens-Save Versus Phacoemulsification with Intraocular Lens Implantation in Primary Vitrectomy for Phakic Rhegmatogenous Retinal Detachment. |
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Ik Soo Byon, Kang Yeun Pak, Seung Min Lee, Ji Eun Lee, Boo Sup Oum |
1Department of Ophthalmology, Pusan National University Hospital, Busan, Korea. jlee@pusan.ac.kr
2Department of Ophthalmology, Pusan National University School of Medicine, Yangsan, Korea. |
| 수정체안 열공망막박리의 유리체절제술에서 수정체 보존과 백내장 동시수술의 비교 |
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변익수1⋅박강윤1⋅이승민1⋅이지은1,2⋅엄부섭1,2 |
Department of Ophthalmology, Pusan National University Hospital1, Busan, Korea
Department of Ophthalmology, Pusan National University School of Medicine2, Yangsan, Korea |
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| Abstract |
PURPOSE
To compare lens-save and simultaneous phacoemulsification with intraocular lens implantation in primary vitrectomy for phakic rhegmatogenous retinal detachment (RRD). METHODS: A retrospective comparative analysis of 54 consecutive eyes from 54 phakic RRD patients who underwent vitrectomy with a minimum of 12 months of follow-up was performed. The patients were divided into the vitrectomy group and the combined group (patients who underwent vitrectomy with concurrent cataract surgery). The main outcome measures were the best corrected visual acuity (BCVA), anatomical success rate, complications and cataract status according to LOCSIII grading. RESULTS: Baseline characteristics were similar in both groups, except for age and cataract status. The mean age was 46.9 year in the vitrectomy group (n = 20) and 60.5 years in the combined group (n = 34) (p < 0.001). The postoperative BCVA (log MAR) improved from 1.27 and 1.30 at baseline to 0.45 and 0.28 at 12 months (p < 0.05), respectively, which was not a significant difference between the 2 groups. In the vitrectomy group, cataract status was changed from 1.8 at baseline to 2.5 at 12 months (p = 0.001). Two patients (11.1%) had an additional cataract surgery performed. The primary anatomical success rate was 90.0% in the vitrectomy group and 94.1% in the combined group. CONCLUSIONS: The vitrectomy group and combined group had similar results in the repair of phakic RRD. Although postoperative cataract progression was noted, lens should be saved in vitrectomy for young patients, as significant cataract is uncommon. |
| Key Words:
Cataract;Combined surgery;Phakic rhegmatogenous retinal detachment;Vitrectomy |
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