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 123
- Downloads 0
Changes of retinal nerve fiber layer thickness in patients with different types of angle-closure glaucoma
AIM: To investigate the changes and significance of retinal nerve fiber layer(RNFL)thickness in patients with acute and chronic angle-closure glaucoma. <p>METHODS: Totally 37 patients(40 eyes)with acute angle-closure gla...
Effect of bandage contact lens on the corneal epithelium healing, degree of pain and corneal surface after recurrent pterygium excision
AIM: To assess the effect of bandage contact lens on the corneal epithelium healing condition, degree of pain and corneal surface after recurrent pterygium excision. <p>METHODS: Retrospective case-series study. A total o...
Correlative analysis of eccentricity of optical treatment zone with tear film function and corneal shape after wearing orthokeratology lenses
AIM: To explore the correlation between eccentricity in the optical treatment area and tear film function and corneal morphology after orthokeratology. <p>METHODS:Eighty patients(80 eyes)with myopia who were treated with...
Incidence of amblyopia in preschool children and correlation factors in Bao'an District of Shenzhen
AIM: To investigate the incidence of amblyopia in preschool children and correlation factors in Bao'an District of Shenzhen so that to provide possible basis for the prevention of regional amblyopia. <p>METHODS: Totally...
Levodopa combined with visual stimulation training in the treatment of ametropic amblyopia in adolescents
AIM: To explore the effect of levodopa and visual stimulation training in the treatment of adolescent ametropic amblyopia. <p>METHODS: Sixty-four adolescents(68 eyes)with ametropic amblyopia who treated in our hospital f...