Yuksel Sullu, MD, Umit Beden, MD, Inci Gungor, MD, Reyhan Hamidova, MD,Ondokuz Mayis University, Faculty of Medicine,  Department of Ophthalmology, Samsun, Turkey

Purpose:

To evaluate the combined phacoemulsification, foldable acrylic intraocular lens (IOL) implantation and pars plana vitrectomy (PPV) in diabetic patients with vitreoretinal pathology.

Methods:

Combined surgery was performed in 24 diabetic patients with vitreous haemorrhage, tractional retinal detachment, severe fibrovascular proliferation secondary to proliferative diabetic retinopathy. Phacoemulsification was performed by scleral or limbal tunnel incision. Foldable acrylic IOL was implanted after or before PPV.

Results:

Visual acuities were increased in 20 (83%) cases. Re-hemorrhage occurred in 3 (12%) cases and transient mild rubeosis was observed 3 (12%) cases. Postoperative transient intraocular pressure increase, mild corneal edema and inflammation were frequent complications.

Conclusion:

Combined phacoemulsification, foldable acrylic IOL implantation and PPV is safe and effective method in diabetic patients with cataract and vitreoretinal pathology required PPV.