Phacovitrectomy versus Phacoemulsification after Vitrectomy for Rhegmatogenous Retinal Detachment Repair.

Choi, A Young; Yeo, Youngdo; Kim, Yu Cheol

doi:2015.56.3.357

J Korean Ophthalmol Soc > Volume 56(3); 2015 > Article

Original Article

Journal of the Korean Ophthalmological Society 2015;56(3):357-364.
DOI: https://doi.org/10.3341/jkos.2015.56.3.357 Published online March 15, 2015.

Phacovitrectomy versus Phacoemulsification after Vitrectomy for Rhegmatogenous Retinal Detachment Repair.

A Young Choi, Youngdo Yeo, Yu Cheol Kim

Department of Ophthalmology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea. eyedr@dsmc.or.kr

열공망막박리에서 유리체절제술과 수정체유화술 동시 수술과 순차적 수술의 비교

최아영⋅여영도⋅김유철

계명대학교 의과대학 동산의료원 안과학교실

Abstract

PURPOSE
To compare the outcomes of phacovitrectomy and phacoemulsification after vitrectomy for treatment of rhegmatogenous retinal detachment (RRD). METHODS: We performed a retrospective comparative analysis of 39 consecutive eyes with phakic primary RRD followed up for more than 6 months. The patients were divided into phacoemulsifcation after vitrectomy and phacovitrectomy groups. The main outcome measures were the best corrected visual acuity (BCVA), anatomical success rate and postoperative complications. RESULTS: The mean age was 54.17 years in the phacoemulsifcation after vitrectomy group (n = 23) and 56.69 years in the phacovitrectomy group (n = 16; p = 0.031). The log MAR BCVA improved in both groups with no statistically significant difference between the 2 groups (p = 0.592). The anatomical success rate after initial surgical intervention was 100% in both groups. Retinal detachment recurred in 3 eyes in the phacoemulsifcation after vitrectomy group; caused by new retinal tear. CONCLUSIONS: The new RRD rate in phacoemulsification after vitrectomy group was higher than in the phacovitrectomy group. Due to the retrospective and limited data in this study, whether simultaneous combined cataract surgery with retinal detachment surgery should be recommended to reduce RRD risk is inconclusive and further larger, prospectively designed studies are necessary to confirm the present findings.

Key Words: Phacoemulsification;Phacovitrectomy;Retinal re-detachment