Topical anesthesia with sedation in phacoemulsification and intraocular lens implantation combined with 2-port pars plana vitrectomy in 105 consecutive cases.

Background And Objective: To evaluate the efficacy of topical anesthesia as an alternative to peribulbar or retrobulbar anesthesia in phacoemulsification and intraocular lens implantation combined with our modified 2-port pars plana vitrectomy technique (phacovitrectomy).

Patients And Methods: Phacovitrectomy using topical anesthesia (4% lidocaine drops) was prospectively performed in 105 eyes with cataract and varied vitreoretinal pathology. In 75 eyes (71.

Corneal topography changes after vitreoretinal surgery.

The authors report the results of a prospective study to assess corneal topography changes after vitreoretinal surgery procedures. Computer-assisted videokeratography using a Topographic Modeling System-1 (TMS-1) were prospectively performed before and after vitreoretinal surgery (vitrectomy with or without scleral buckling) in 12 eyes (patients) with varied vitreoretinal pathology, including cytomegalovirus (CMV) retinitis, CMV-related retinal detachment, retinal detachment with and without proliferative vitreoretinopathy, trauma, acute retinal necrosis, and macular hole. Preoperative and postoperative surface regularity index (SRI), surface asymmetry index (SAI), and induced astigmatism were determined.