Resultados clínicos de la cirugía combinada de catarata con vitrectomía 23-gauge

Abstract

Purpose: To report the clinical outcomes of cataract surgery (phacoemulsification and intraocular lens implantation) combined with 23-gauge vitrectomy, and to evaluate the effectiveness and safety of this technique. Methods: A retrospective, consecutive, non-comparative study which included 105 eyes. Phacoemulsification and intraocular lens implantation (in the capsular sac) combined with 23-gauge vitrectomy were performed. Indications for undergoing surgery were varied. Best corrected logMAR visual acuity (VA) and intraocular pressure (IOP) were measured pre- and postoperatively, and postoperative complications were recorded. Results: Patients were followed-up for a mean of 16.6 ± 9.9 months. The mean preoperative VA was 0.83 ± 0.40 logMAR, and mean postoperative VA one month after surgery was 0.44 ± 0.38 logMAR. The postoperative visual acuity improved in 83.8% of cases. The mean preoperative IOP was 16.6 ± 3.7 mmHg, while the mean postoperative IOP was 22.5 ± 12.8 mmHg (1 day after surgery), 17.5 ± 6.8 mmHg (after 1 week), and 15.3 ± 3.8 mmHg (after 1 month). Postoperative complications included posterior capsular opacification (n = 5), macular edema (n = 4), corneal de-epithelization (n = 3), retinal detachment (n = 2), proliferative vitreoretinopathy (n = 2), choroidal detachment (n = 1), macular hole (n = 1), vitreous hemorrhage (n = 1), epiretinal membrane (n = 1), and transient elevated intraocular pressure (n = 36). Conclusions: The surgery reported in this study involving phacoemulsification combined with 23-gauge vitrectomy was found to be safe and effective, and was associated with improved clinical features, including rapid rehabilitation, a low incidence of complications, and avoids repeat surgery.