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Combined pars plana vitrectomy with phacoemulsification for rhegmatogenous retinal detachment repair

Authors Guber J, Bentivoglio M, Sturm V, Scholl HPN, Valmaggia C

Received 11 May 2019

Accepted for publication 4 July 2019

Published 21 August 2019 Volume 2019:13 Pages 1587—1591

DOI https://doi.org/10.2147/OPTH.S215352

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Josef Guber,1,2 Maico Bentivoglio,1 Veit Sturm,1 Hendrik PN Scholl,2–4 Christophe Valmaggia1

1Eye Clinic, Cantonal Hospital Sankt Gallen, Sankt Gallen, Switzerland; 2Department of Ophthalmology, University of Basel, Basel, Switzerland; 3Institute of Molecular and Clinical Ophthalmology Basel (IOB), Basel, Switzerland; 4Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA

Correspondence: Josef Guber
Eye Clinic, Cantonal Hospital Sankt Gallen, Rorschacherstrasse 95, CH-9007 Sankt Gallen, Switzerland
Email josef_guber@hotmail.com

Purpose: To investigate the outcome after combined phaco-vitrectomy in rhegmatogenous retinal detachment (RRD) repair.
Patients and methods: In this retrospective study, we included all patients who underwent pars plana vitrectomy (PPV) for RRD between January 2013 and December 2017. The main outcome measure was the retinal re-detachment rate after combined phaco-vitrectomy.
Results: Overall, 1017 eyes with RRD were included. All eyes received PPV, while in 516 eyes additional phacoemulsification was performed. A retinal re-detachment occurred in 103 patients (10.1%). No significant difference in the rate of re-detachment was found if additional phacoemulsification was performed (p=0.641). Subgroup calculations showed a significant higher rate of re-detachment in patients with a PVR (p=0.0003) and in patients where silicone oil was used as primary tamponade (p=0.0001) as well as in macula off RRDs (p=0.034).
Conclusion: Additional phacoemulsification during vitrectomy for RRD is not associated with higher rate of retinal re-detachment.

Keywords: retinal detachment, cataract, phacoemulsification, vitrectomy


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