Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients

Esen, Ebru; Demircan, Nihal; Sizmaz, Selcuk; Çavuşoğlu, ahsen

doi:10.37845/ret.vit.2022.31.27

Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients

Selçuk Sızmaz, (MD, FEBO, FICO, Doçent, Çukurova Üniversitesi, Yüksek Okulu Tıp, Göz Hastalıkları Anabilim Dalı, Adana, Türkiye)

Ebru Esen, (MD, FEBO, FICO, Doçent, Çukurova Üniversitesi, Yüksek Okulu Tıp, Göz Hastalıkları Anabilim Dalı, Adana, Türkiye)

Ahsen Çavuşoğlu, (MD, FEBO, Doçent, Çukurova Üniversitesi, Yüksek Okulu Tıp, Göz Hastalıkları Anabilim Dalı, Adana, Türkiye)

Ayşe Nihal DEMİRCAN (Doktor, Asistan, Çukurova Üniversitesi Tıp Fakültesi, Anabilim Dalı Oftalmoloji, Adana, Türkiye)

Retina-Vitreus

2 0

Yıl: 2022 Cilt: 31 Sayı: 2 Sayfa Aralığı: 159 - 165 Metin Dili: İngilizce DOI: 10.37845/ret.vit.2022.31.27 İndeks Tarihi: 20-09-2022

Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients

Öz:

Purpose: To compare the outcome of pars plana vitrectomy (PPV) alone and combined with phacoemulsification (phacovitrectomy) in eyes with rhegmatogenous retinal detachment (RRD) and any degree of accompanying lens opacity. Materials and Methods: Medical charts of patients who underwent PPV with or without phacoemulsification were retrospectively reviewed. Eyes were recruited in Group A in case phacoemulsification was not performed (n=66) and in Group B in case they underwent phacovitrectomy (n=36). Patients under the age of 40 were excluded. Demographic and baseline clinical features, anatomical and functional outcome as well as complications were compared. The primary outcome measure was anatomical and functional success following silicone oil removal. Results: The groups were similar in terms of number of retinal breaks, detached retinal quadrants in clock hours and macular status. Phacovitrectomy caused significantly higher fibrin reaction (p=0.007) and high intraocular pressure (p<0.005) that responded to medication in the postoperative course. In Group A, the lens opacity progressed in 47 eyes. Primary outcome measure was achieved in 38 patients in Group A and 19 patients in Group B (p=0.7). Conclusion: Simultaneous cataract surgery did not alter the outcome in eyes with RRD associated with any degree of cataract in presbyopic patients. The clinical outcome was similar with minor complications in both groups.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

1. Reeves MG, Pershing S, Afshar AR. Choice of primary rhegmatogenous retinal detachment repair method in US commercially insured and Medicare advantage patients, 203- 2016. Am J Ophthalmol 2018;196:82-90.
2. Canan H, Sizmaz S, Altan-Yaycioglu R. Surgical results of combined pars plana vitrectomy and phacoemulsification for vitreous hemorrhage in PDR. Clin Ophthalmol 2013;13:1597- 601.
3. Feng H, Adelman R. Cataract formation following vitreoretinal procedures. Clin Ophthalmol 2014;8:1957-65.
4. Cole CJ, Charteris DG. Cataract extraction after retinal detachment repair by vitrectomy: visual outcome and complications. Eye (London) 2009;23:1377-81.
5. Jain V, Kar D, Natarajan S, et al. Phacoemulsification and pars plana vitrectomy: a combined procedure. Indian J Ophthalmol 2007;55:203-6.
6. Zheng QX, Wu RH, Zhang YP, et al. Anterior segment complications after phacoemulsification combined vitrectomy and foldable intraocular lens implantation. Int J Ophthalmol 2010;3:249-54.
7. Oh JH, Na J, Kim SW, et al. Risk factors for posterior synechiae of the iris after 23-gauge phacovitrectomy. Int J Ophthalmol 2014;7:843-9.
8. Tosi GM, Balestrazzi A, Baiocchi S, et al. Complex retinal detachment in phakic cases: previtrectomy phacoemulsification versus combined phacovitrectomy. Retina 2017;37(4):630-6.
9. Koushan K, Mikhail M, Beattie A, et al. Corneal endothelial cell loss after pars plana vitrectomy and combined phacoemulsification-vitrectomy surgeries. Can J Ophthalmol 2017;52:4-8.
10. Silva PS, Diala PA, Hamam RN, et al. Visual outcomes from pars plana vitrectomy versus combined pars plana vitrectomy, phacoemulsification, and intraocular lens implantation in patients with diabetes. Retina 2014;34:1960-8.
11. Lee DY, Jeong HS, Sohn HJ, et al. Combined 23-gauge sutureless vitrectomy and clear corneal phacoemulsification in patients with proliferative diabetic retinopathy. Retina 2011;31:1753-8.
12. Leiderman YI, Andreoli MT, Sun B, et al. Pars plana vitrectomy combined with cataract extraction. Retina 2015;35:1059-64.
13. Treumer F, Bunse A, Rudolf M, et al. Pars plana vitrectomy, phacoemulsification and intraocular lens implantation. Comparison of clinical complications in a combined versus two-step surgical approach. Graefes Arch Clin Exp Ophthalmol 2006;244:808-15.
14. Koc B, Doganay S, Cankaya S. Pars plana vitrektomi ile combine fakoemülsifikasyon ve göz içi lens implantasyonu cerrahisi sonuçlarımız. Ret-Vit 2011;19:32-6.
15. Bardak Y, Cekic O, Tıg S. Proliferatif diyabetik retinopatide pars plana vitrektomi ile kombine fakoemülsifikasyon-pars plana vitrektomi uygulamalarının karşılaştırılması. Ret-Vit 2006;13:133-6.
16. Karaca EE, Ozdek S, Ozmen MC, et al. Safety of polyacrylamide 1.5% left in anterior chamber in combined phacoemulsification and pars plana vitrectomy surgery. Curr Eye Res 2016;41:501-6.
17. Fajgenbaum MAP, Neffendorf JE, Wong RS, et al. Intraoperative and postoperative complications in phacovitrectomy for epiretinal membrane and macular hole: a clinical audit of 1000 consecutive eyes. Retina 2018;38:1865-72.
18. Caiado RR, Magalhaes O Jr, Badaro E, et al. Effect of lens status in the surgical success of 23-gauge primary vitrectomyfor the management of rhegmatogenous retinal detachment: the Pan American Collaborative Retina Study (PACORES) group results. Retina 2015;35:326-33.
19. Tseng JJ, Schiff WM, Barile GR, et al. Influence of postoperative lens status on intraocular pressure in proliferative vitreoretinopathy. Am J Ophthalmol 2009;147:875-85.
20. Mendrinos E, Dang-Burgener NP, Stangos AN, et al. Primary vitrectomy without scleral buckling for pseudophakic rhegmatogenous retinal detachment. Am J Ophthalmol 2008;145:1063-70.
21. Heimann H, Bartz-Schmidt KU, Bornfeld N, et al; Scleral Buckling versus Primary Vitrectomy in Rhegmatogenous Retinal Detachment Study Group. Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment: a prospective randomized multicenter clinical study. Ophthalmology 2007;114:2142-54.
22. Machemer R, AAberg TM, Freeman HM, Irvine AR, Lean JS, Michels RM. An updated classification of retinal detachment with proliferative vitreoretinopathy. Am J Ophthalmol 1991;112:159- 65.
23. Tan A, Bertrand-Boiche M, Angioi-Duprez K, et al. Outcomes of combined phacoemulsification and pars plana vitrectomy for rhegmatogenous retinal detachment: a comparative study. Retina 2021;41:68-74.
24. Sebag J. Anomalous posterior vitreous detachment: a unifying in vitreo-retinal disease. Graefe’s Arch Clin Exp Ophthalmol 2004;242:690-8.
25. Kuhn F, Aylward B. Rhegmatogenous retinal detachment: a reappraisal of its pathophysiology and treatment. Ophthalmic Res 2014;51:15-31.
26. Smith M, Raman SV, Pappas G, et al. Phacovitrectomy for primary retinal detachment repair in presbyopes. Retina 2007;27:462-7.
27. Pollack A, Landa G, Kleinman G, et al. Results of combined surgery by phacoemulsification and vitrectomy. Isr Med Assoc J 2004;6:143-6.
28. Kim KN, Lee HJ, Heo DW, et al. Combined cataract extraction and vitrectomy for macula-sparing retinal detachment: visual outcomes and complications.Korean J Ophthalmol 2015;29:147- 54.
29. Loukovaara S, Haukka J. Repair of primary RRD - comparing pars plana vitrectomy procedure with combined phacovitrectomy with standard foldable intraocular lens implantation. Clin Ophthalmol 2018;12:1449-57.

APA	Sizmaz S, Esen E, Çavuşoğlu a, Demircan N (2022). Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients. , 159 - 165. 10.37845/ret.vit.2022.31.27
Chicago	Sizmaz Selcuk,Esen Ebru,Çavuşoğlu ahsen,Demircan Nihal Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients. (2022): 159 - 165. 10.37845/ret.vit.2022.31.27
MLA	Sizmaz Selcuk,Esen Ebru,Çavuşoğlu ahsen,Demircan Nihal Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients. , 2022, ss.159 - 165. 10.37845/ret.vit.2022.31.27
AMA	Sizmaz S,Esen E,Çavuşoğlu a,Demircan N Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients. . 2022; 159 - 165. 10.37845/ret.vit.2022.31.27
Vancouver	Sizmaz S,Esen E,Çavuşoğlu a,Demircan N Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients. . 2022; 159 - 165. 10.37845/ret.vit.2022.31.27
IEEE	Sizmaz S,Esen E,Çavuşoğlu a,Demircan N "Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients." , ss.159 - 165, 2022. 10.37845/ret.vit.2022.31.27
ISNAD	Sizmaz, Selcuk vd. "Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients". (2022), 159-165. https://doi.org/10.37845/ret.vit.2022.31.27

APA	Sizmaz S, Esen E, Çavuşoğlu a, Demircan N (2022). Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients. Retina-Vitreus, 31(2), 159 - 165. 10.37845/ret.vit.2022.31.27
Chicago	Sizmaz Selcuk,Esen Ebru,Çavuşoğlu ahsen,Demircan Nihal Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients. Retina-Vitreus 31, no.2 (2022): 159 - 165. 10.37845/ret.vit.2022.31.27
MLA	Sizmaz Selcuk,Esen Ebru,Çavuşoğlu ahsen,Demircan Nihal Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients. Retina-Vitreus, vol.31, no.2, 2022, ss.159 - 165. 10.37845/ret.vit.2022.31.27
AMA	Sizmaz S,Esen E,Çavuşoğlu a,Demircan N Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients. Retina-Vitreus. 2022; 31(2): 159 - 165. 10.37845/ret.vit.2022.31.27
Vancouver	Sizmaz S,Esen E,Çavuşoğlu a,Demircan N Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients. Retina-Vitreus. 2022; 31(2): 159 - 165. 10.37845/ret.vit.2022.31.27
IEEE	Sizmaz S,Esen E,Çavuşoğlu a,Demircan N "Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients." Retina-Vitreus, 31, ss.159 - 165, 2022. 10.37845/ret.vit.2022.31.27
ISNAD	Sizmaz, Selcuk vd. "Comparison of Phacovitrectomy with Pars Plana Vitrectomy Alone in Rhegmatogenous Retinal Detachment in Presbyopic Patients". Retina-Vitreus 31/2 (2022), 159-165. https://doi.org/10.37845/ret.vit.2022.31.27