Purpose: The aim of the study was to examine whether air tamponade has a significant effect on postoperative tilt of the intraocular lens (IOL) in combined phacoemulsification with implantation of an IOL and vitrectomy compared to balanced salt solution.
Procedures: This randomized, controlled, monocentre study included patients scheduled for combined phacoemulsification with IOL implantation and pars plana vitrectomy. Patients were randomized for balanced salt solution or air tamponade. Postoperative tilt and decentration of the IOL were measured 2 months after surgery with a Purkinje meter.
Results: Thirty-four patients were included into the analysis. Tilt of the IOL was on average 4.1 ± 1.9°, without significant differences between balanced salt solution and air tamponade (p = 0.462). Decentration of the IOL was on average 0.31 ± 0.14 mm, without significant differences between balanced salt solution and air tamponade (p = 0.42).
Conclusions: Air tamponade does not induce significantly more tilt or decentration of the IOL in combined phacoemulsification and vitrectomy compared to balanced salt solution. Potentially, this may not hold true for cases with a capsulorhexis that does not overlap the IOL optic.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1159/000499116 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Fibrin-glue-assisted retinopexy for coloboma-associated retinal detachment.
Indian J Ophthalmol
December 2024
Srimati Kanuri Santhamma Center for Vitreo-Retinal Diseases, Anant Bajaj Retina Institute, L. V. Prasad Eye Institute, Hyderabad, Telangana, India.
Background: Retinal detachment (RD) is common (23%-40%) in eyes with uveal coloboma due to early vitreous syneresis, inherent defects at the locus minoris resistentiae, and breaks in intercalary membrane (ICM).[1] Managing eyes with coloboma RD is difficult due to complexity of accessing and repairing retinal breaks. In RD surgeries, tamponade agents are used to provide surface tension across retinal breaks to prevent further fluid flow into the subretinal space until the effect of retinopexy is permanent.
View Article and Find Full Text PDFFactors affecting the duration of air tamponade following vitreoretinal surgery.
Graefes Arch Clin Exp Ophthalmol
November 2024
Department of Ophthalmology, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.
Purpose: Air as a tamponade in pars plana vitrectomy (PPV) is increasingly preferred due to its quick rehabilitation time. We aim to examine the factors affecting the absorption time of air tamponade.
Method: The study included 82 eyes from 78 patients who underwent PPV with air used as the tamponade.
Article Synopsis
- The study developed a new surgical technique for treating full-thickness macular holes (MH) associated with proliferative epiretinal structures, assessing its effectiveness in a clinical setting.
- It involved 34 patients, with one group undergoing the new technique featuring an inverted internal limiting membrane (ILM)/epiretinal membrane (ERM) flap, and the other group using conventional peeling techniques.
- Results showed that the new technique led to better visual acuity and more significant improvements in central retinal sensitivity, with a higher success rate in closing macular holes compared to traditional methods.
Thirteen year experience of vitrectomy and air tamponade for primary retinal detachment repair with clinical outcomes.
Sci Rep
November 2024
Ophthalmology Unit, IRCCS Sacro Cuore Don Calabria Hospital Verona, Verona, Italy.
Purpose: To report outcomes of pars plana vitrectomy (PPV) with air tamponade for primary rhegmatogenous retinal detachment (RRD) and investigate the impact of vitreous cortex remnants (VCR) on surgical outcomes.
Methods: A retrospective review of 900 patients treated for uncomplicated primary RRD between 2007 and 2020. Exclusion criteria included axial length > 26 mm, prior retinal surgery, giant retinal tear, PVR grade > B, and inadequate follow-up.
The no-retina-touch technique: vitrectomy and platelet-rich plasma in the treatment of lamellar macular hole. New insights into pathogenesis.
Eye (Lond)
October 2024
Department of Ophthalmology, University of Turin, Turin, Italy.
Purpose: To explore the use of autologous platelet-rich plasma (PRP) as a potential therapeutic adjuvant strategy for treating degenerative lamellar macular holes (LMHs).
Design: A prospective interventional case series.
Methods: Seven consecutive patients (8 eyes) with a diagnosis of LMH underwent a pars-plana vitrectomy with PRP injection under air tamponade.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!