Combined cataract surgery and vitrectomy for recurrent retinal detachment

Nauman A. Chaudhry, Harry W. Flynn, Timothy G. Murray, Armando Belfort, Mozart Mello

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Purpose: To report our experience with combined cataract surgery, posterior chamber intraocular lens implantation, and pars plana vitrectomy in the management of recurrent retinal detachment (RD) and visually significant cataract. Methods: Retrospective chart review of patients with cataract and recurrent RD who underwent combined cataract extraction, posterior chamber intraocular lens implantation, and pars plana vitrectomy between January 1991 and September 1998 at the Bascom Palmer Eye Institute. Sixteen eyes were included. All eyes had visually significant cataract and had undergone primary repair of the RD with encircling scleral buckle; eight eyes also had undergone pars plana vitrectomy during the primary repair. The technique of cataract extraction included phacoemulsification (10 eyes), extracapsular cataract extraction (5 eyes), and pars plana lensectomy (1 eye). All eyes underwent pars plana vitrectomy, membrane peeling, fluid-air exchange, endolaser treatment, and placement of a retinal tamponade. Perfluoropropane (C3F8) gas was used in 14 eyes, and silicone oil was placed in two eyes. Results: The postoperative follow-up interval ranged from 4 to 64 months (mean, 16 months). Preoperative visual acuity ranged from 20/60 to hand motions and was better than 20/200 in 3 (19%) eyes. Postoperatively, 9 (56%) eyes improved to better than 20/200. Anatomic success was achieved after the initial reoperation in 13 (81%) eyes. With further surgery, the overall success rate was 94%. Conclusions: Combined cataract surgery, posterior chamber intraocular lens implantation, and pars plana vitrectomy in selected patients with cataract and recurrent RD was successful in improving visual acuity and achieving retinal reattachment in most of these reoperated patients.

Original languageEnglish
Pages (from-to)257-261
Number of pages5
JournalRetina
Volume20
Issue number3
StatePublished - Jul 17 2000

Fingerprint

Vitrectomy
Retinal Detachment
Cataract
Temazepam
perflutren
Intraocular Lens Implantation
Cataract Extraction
Visual Acuity
Silicone Oils
Phacoemulsification
Reoperation
Hand
Air

Keywords

  • Cataract surgery
  • Combined procedure
  • Pars plana vitrectomy
  • Recurrent retinal detachment
  • Vitrectomy techniques
  • Vitreous surgery

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems

Cite this

Chaudhry, N. A., Flynn, H. W., Murray, T. G., Belfort, A., & Mello, M. (2000). Combined cataract surgery and vitrectomy for recurrent retinal detachment. Retina, 20(3), 257-261.

Combined cataract surgery and vitrectomy for recurrent retinal detachment. / Chaudhry, Nauman A.; Flynn, Harry W.; Murray, Timothy G.; Belfort, Armando; Mello, Mozart.

In: Retina, Vol. 20, No. 3, 17.07.2000, p. 257-261.

Research output: Contribution to journalArticle

Chaudhry, NA, Flynn, HW, Murray, TG, Belfort, A & Mello, M 2000, 'Combined cataract surgery and vitrectomy for recurrent retinal detachment', Retina, vol. 20, no. 3, pp. 257-261.
Chaudhry NA, Flynn HW, Murray TG, Belfort A, Mello M. Combined cataract surgery and vitrectomy for recurrent retinal detachment. Retina. 2000 Jul 17;20(3):257-261.
Chaudhry, Nauman A. ; Flynn, Harry W. ; Murray, Timothy G. ; Belfort, Armando ; Mello, Mozart. / Combined cataract surgery and vitrectomy for recurrent retinal detachment. In: Retina. 2000 ; Vol. 20, No. 3. pp. 257-261.
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