Necip Kara, Ahmet Taylan Yazici, Ercument Bozkurt, Mehmet Cakir, Nese Alagoz, Ahmet Demirok, Omer Faruk Yilmaz (Istanbul, Turkey)

Advantages:

To evaluate the anatomical and functional results of combined 23-gauge transconjunctival sutureless vitrectomy and cataract surgery.

Methods:

This retrospective, consecutive, noncomparative case series was observed to 20 eyes of 20 patients who underwent combined 23-gauge transconjunctival sutureless vitrectomy and IOL implantation for lens opacities accompanied to various posterior segment diseases. Preoperative indications for surgery, peroperative and postoperative complications, anatomical and visual results were evaluated.

Effectiveness / Safety:

Mean follow-up was 5.1 months (range 4-13 months). Mean overall preoperative visual acuity was 20/400 and final acuity was 20/80, (P = 0.001). At postoperative day 1, 3 eyes (15%) had hypotony (< 6 mm Hg) and all of them recovered within the first week. Intraoperatively, iatrogenic retinal tears that required laser treatment and a retinal hemorrhage were observed in 2 eyes (10%) and 1 eye (5%), respectively. At postoperative day 1, a fibrin reaction was determined in 4 eyes (20%). No serious complications such as endophthalmitis and re-detachment were observed during follow-up period.

Take home message:

Combined transconjunctival sutureless vitrectomy and phacoemulsification has successfully anatomic and visual outcomes in patients with significant lens opacities and vitreoretinal pathology.