Document Detail


Comparison of clear corneal phacoemulsification combined with 25-gauge transconjunctival sutureless vitrectomy and standard 20-gauge vitrectomy for patients with cataract and vitreoretinal diseases.
MedLine Citation:
PMID:  16039498     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
PURPOSE: To compare effectiveness and outcomes of clear corneal phacoemulsification combined with 25-gauge transconjunctival sutureless vitrectomy and standard 20-gauge vitrectomy system for patients with clinically significant cataract and vitreoretinal diseases.
SETTING: Department of Ophthalmology, Tri-Service General Hospital, Taipei, Taiwan, Republic of China.
METHODS: Clear corneal phacoemulsification combined with 25-gauge transconjunctival sutureless vitrectomy was performed in the study group (15 eyes). Patients in the control group (15 eyes) had combined surgery with clear corneal phacoemulsification and the existing 20-gauge vitrectomy system, providing a comparison between 2 groups with regard to preoperative and postoperative best corrected visual acuity (BCVA), intraocular pressure, and intraoperative and postoperative complications. The additional outcome measurements in both groups were duration of the surgical procedures, time to return to preoperative corneal clarity, time to achieve stable vision, and subjective ocular irritation postoperatively.
RESULTS: Postoperatively, BCVA improved in 12 eyes (80%) in the study group and in 11 eyes (73.3%) in the control group. Mean operative time for opening and closing the sclerotomy was significantly greater in the control group than in the study group. Time to return to preoperative corneal clarity and time to achieve stable vision showed no significant difference between the groups. Compared with the control group, postoperative ocular irritation in patients in the study group was considerably reduced.
CONCLUSIONS: Combined sutureless surgery needed shorter setup time for sclerotomy and caused less postoperative ocular irritation than combined surgery with 20-gauge vitrectomy. Therefore, this type of procedure would be a good option for selected cases with cataract and vitreoretinal diseases.
Authors:
Cheng-Jong Chang; Yun-Hsiang Chang; Shang-Yi Chiang; Le-Tien Lin
Related Documents :
6368508 - Biocompatibility of implant materials: a review and scanning electron microscopic study.
16338568 - Effect of preoperative counseling on patient fear from the visual experience during pha...
16952098 - Toxic keratolysis from combined use of nonsteroid anti-inflammatory drugs and topical s...
20572828 - Correcting post-keratoplasty anisometropia with the implantable collamer phakic intraoc...
17431658 - Comparative outcomes of endoscopic sinus surgery in patients with chronic sinusitis and...
21283508 - Symptomatic glenoid loosening complicating total shoulder arthroplasty.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of cataract and refractive surgery     Volume:  31     ISSN:  0886-3350     ISO Abbreviation:  J Cataract Refract Surg     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-07-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8604171     Medline TA:  J Cataract Refract Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1198-207     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Tri-Service General Hospital, Taipei 114, Taiwan, Republic of China. retina@ms14.hinet.net
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Decrease in complications during cataract surgery with the use of a silicone-tipped irrigation/aspir...
Next Document:  Novel tissue adhesives to secure laser in situ keratomileusis flaps.