The risk of rhegmatogenous retinal detachment following anterior vitrectomy during cataract surgery: with versus without
- PDF / 235,602 Bytes
- 5 Pages / 595.276 x 790.866 pts Page_size
- 93 Downloads / 208 Views
CATARACT
The risk of rhegmatogenous retinal detachment following anterior vitrectomy during cataract surgery: with versus without pars plana vitrectomy Khayam Naderi 1
&
Felicity Allen 1 & Samir Dowlut 1 & Niral Karia 1 & Aman Chandra 1,2
Received: 17 June 2020 / Revised: 1 July 2020 / Accepted: 10 July 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose To compare the rates of rhegmatogenous retinal detachment (RRD) following an anterior vitrectomy (AV) alone during cataract surgery, compared to cases requiring a subsequent pars plana vitrectomy (PPV) for dropped nuclear lens fragments (DNLFs). Methods Retrospective electronic note review of consecutive patients with a posterior capsular rupture (PCR) requiring either AV or subsequent PPV for DNLF over a 5-year period. Results A total of 20,235 cataract operations were performed during the defined period with 199 cases (eyes) of PCR (0.98%). One hundred forty-four of these (72.4%) were managed with AV, and the remaining 55 cases were further complicated by DNLF and thus underwent secondary PPVs. A total of 80.0% of cases in the AV group had a final BCVA of 0.30 logMAR or better, and 77.35% in the DNLF group had a BCVA of 0.30 logMAR or better (p = 0.069). Final BCVA was 0.30 (range—0.18 to 3.0) in the AV group and 0.32 (range—0.18 to 1.8) in the DNLF group (p = 0.82). Final BCVA in those patients who suffered a RRD was poorer than the rest of the cohort in the AV group (p = 0.03). Seven of 144 cases in the AV group went on to develop a RRD with a median time of 11 months (range 1–18 months). None of the cases in the DNLF group went on to develop a RRD (P = 0.048). Conclusion Following an anterior vitrectomy during complicated cataract surgery, the risk of RRD may be lower in patients who require a subsequent PPV for management of DNLF compared to patients who are managed with anterior vitrectomy alone. Keywords Cataract surgery . Posterior capsular rupture . Anterior Vitrectomy . Retinal detachment
Introduction Cataract surgery is one of the most common operations performed with good clinical outcomes and a low risk of complications (1). Intra-operatively, posterior capsular rupture (PCR) occurs in 0.72–1.8% of cases (2–4), depending on numerous published risk factors (1, 2). Those PCR cases which are not complicated further with dropped nuclear lens fragments
* Khayam Naderi [email protected] * Aman Chandra [email protected] 1
Southend University Hospital NHS Foundation Trust, Prittlewell Chase, Westcliff-on-Sea, Essex SS0 0RY, UK
2
Faculty of Medical Sciences, Anglia Ruskin University, Chelmsford, Essex CM11SQ, UK
(DNLFs) are managed with anterior vitrectomy at the time of surgery. A large European cohort study reported that 0.071% of cataract surgery cases are complicated by DNLF, and such cases are usually managed with a secondary pars plana vitrectomy (PPV) (5). Data on the risk of rhegmatogenous retinal detachment (RRD) following cataract surgery is variable. In a study of 61,907 eyes undergoing catar
Data Loading...
