Clinical effect of combined anterior and posterior segment surgery for vitreoretinal diseases with cataract
Journal Title: Guoji Yanke Zazhi - Year 2018, Vol 18, Issue 11
Abstract
AIM: To observe the clinical effect of combined anterior and posterior segment surgery in the treatment of vitreoretinal diseases with cataract and the influence on visual acuity recovery and complications after surgery. <p>METHODS: The clinical data of 94 patients(94 eyes)with vitreoretinal diseases complicated with cataract treated in the hospital during the period from January 2016 to December 2017 were collected retrospectively. Fifty of them treated by vitrectomy combined with phacoemulsification were included in Group A, and the other 44 cases treated by one-stage vitrectomy and two-stage phacoemulsification were included in Group B. The improvement rate of visual acuity, best corrected visual acuity(BCVA), changes of intraocular pressure(IOP)and incidence of complications after surgery were compared between the two groups. <p>RESULTS: There was no significant difference in the improvement rate of visual acuity between Group A and Group B(<i>P</i>>0.05). The logMAR BCVA of Group B at the last follow-up was significantly better than that of Group A(0.59±0.17 <i>vs</i> 0.78±0.28, <i>P</i><0.05), but there was no significant difference in IOP between the two groups before and after surgery(<i>P</i>>0.05). The incidence of anterior chamber inflammatory response in Group A was significantly higher than that in Group B(52% <i>vs</i> 20%, <i>P</i><0.05), but there was no significant difference between the two groups in other complications, such as transient high IOP or rubeosis iridis(<i>P</i>>0.05). <p>CONCLUSION: Both concurrent anterior and posterior segment surgery and stage surgery are safe and effective in the treatment of vitreoretinal diseases with cataract. The surgical field of the former is clearer and it is easier to operate while the latter can alleviate the anterior chamber inflammatory response, with certain advantages in improvement of postoperative visual acuity. The appropriate surgical method should be chosen according to the patient's condition.
Authors and Affiliations
Qian-Wei Zhu
Keywords
Related Articles
- EP ID EP519536
- DOI 10.3980/j.issn.1672-5123.2018.11.19
- Views 110
- Downloads 0
Treatment of diabetic macular edema by Ranibizumab with laser photocoagulation therapy
AIM: To investigate the clinical efficacy of Ranibizumab combined with laser photocoagulation in the treatment of diabetic macular edema(DME). <p>METHODS: The clinical data of 190 patients(190 eyes)with DME treated in ou...
Vision distribution and its influencing factors of two teenager aviation schools in Western China
AIM: To analyze the vision distribution and its related risk factors of two teenager aviation schools in Western China. <p>METHODS: The study was a cross-sectional survey. A total of 233 participants were randomly select...
Vitamin A palmitate eye gel and carboxymethylcellulose sodium eye drops on prevention of dry eye after cataract surgery
AIM: To observe the efficacy of vitamin A palmitate eye gel and carboxymethylcellulose sodium eye drops on prevention of dry eye after phacoemulsification. <p>METHODS: Ninety patients(ninety eyes)with age-related catarac...
Clinical efficacy of Conbercept combined with vitrectomy for proliferative vitreoretinopathy after choroidal detachment
AIM: To evaluate the clinical effect of Conbercept combined with vitrectomy in the treatment of proliferative vitreoretinopathy(PVR)after choroidal detachment. <p>METHODS: From January 2015 to January 2018, 66 eyes of 64...
Clinical effect and cost analysis of panretinal photocoagulation combined with Ranibizumab or triamcinolone acetonide for diabetic macular edema
AIM: To compare clinical effects and cost of panretinal photocoagulation(PRP)combined with Ranibizumab or triamcinolone acetonide(TA)for diabetic macular edema(DME). <p>METHODS: Forty-eight patients(48 eyes)with DME and...