Surgical and Functional Results of Hybrid 25-27-Gauge Vitrectomy Combined with Coaxial 2.2 mm Small Incision Cataract Surgery

الملخص EN

Purpose.

To investigate outcomes after coaxial 2.2 mm small incision cataract surgery combined with hybrid 25-27-gauge vitrectomy in eyes with vitreoretinal disease and age-related cataract.

Methods.

A single-center, retrospective case series study of 55 subjects (55 eyes) with a mean age of 70 years who underwent combined small incision phacoemulsification, intraocular lens (IOL) implantation, and hybrid 25-27-gauge vitrectomy during the 12-month period to December 2014.

Intraoperative and postoperative complications and visual results were the main outcome measures.

Results.

The mean follow-up period was 6 months (range: 2–18 months).

Intraoperative findings were 3 retinal breaks (5.5%).

No cases required corneal or scleral suture or conversion to larger-gauge vitrectomy.

Postoperative complications consisted of posterior capsule opacification (12.7%), elevated intraocular pressure >30 mmHg (1.8%), and fibrin reaction (5.5%).

There were no cases of hypotony (<7 mmHg), IOL decentration, or postoperative endophthalmitis.

Visual acuity (mean ± SD) improved from 0.52 ± 0.6 logMAR preoperatively to 0.22 ± 0.46 logMAR at final postoperative visit ( P < 0.0001 ).

Conclusion.

Surgical and visual outcomes suggest hybrid 25-27-gauge vitrectomy combined with small incision phacoemulsification and IOL implantation is feasible, safe, and effective as a one-step surgical procedure for the management of vitreoretinal pathologies and concurrent cataract.