AI Article Synopsis
- - The study examined and compared intraoperative complications and visual outcomes between combined phacovitrectomy (Phaco-PPV) and stand-alone phacoemulsification surgeries across eight ophthalmology centers in the UK from January 2000 to May 2015.
- - Results showed that the Phaco-PPV group experienced significantly higher rates of complications like posterior capsule rupture, dropped lens fragments, suprachoroidal hemorrhage, and cystoid macular edema compared to the stand-alone group.
- - Patients in the Phaco-PPV group also had worse preoperative and postoperative visual acuity, indicating that this combined surgery may be less favorable in terms of visual outcomes.
Article Abstract
Purpose: To compare the rates of intraoperative complications, cystoid macular edema (CME), and visual outcomes in eyes that underwent combined phacovitrectomy (Phaco-PPV) with those with stand-alone phacoemulsification.
Setting: A multicenter database study across 8 ophthalmology departments in the United Kingdom.
Design: Retrospective, nonrandomized, multicenter comparative study.
Methods: We extracted data for patients who underwent Phaco-PPV and stand-alone phacoemulsification from January 2000 through May 2015. The primary study outcomes were the rates of intraoperative complications and CME postoperatively.
Results: The study included 2222 eyes in the combined Phaco-PPV group and 112 689 in the stand-alone phacoemulsification group. The combined Phaco-PPV group had a higher incidence of posterior capsule rupture (2.7% vs 1.7%), dropped lens fragments (0.5% vs 0.2%), suprachoroidal hemorrhage (0.4% vs 0.1%), and CME (3.6 vs 1.1%) ( P < .001). The mean preoperative visual acuity (VA) was lower in the combined Phaco-PPV group, with a mean VA of 0.98 vs 0.68 logMAR (Snellen ∼20/200 vs 20/100) in the stand-alone phacoemulsification group ( P < .001). VA at 24 weeks was lower in the combined Phaco-PPV group (mean VA 0.67 vs 0.22 logMAR (Snellen ∼20/100 vs 20/32), P < .001).
Conclusions: Combined Phaco-PPV had higher rates of intraoperative complications and CME, along with a lower postoperative VA, when compared with stand-alone phacoemulsification surgery.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338024 | PMC |
| http://dx.doi.org/10.1097/j.jcrs.0000000000001493 | DOI Listing |
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