Comparison of complications and visual outcomes of combined phacovitrectomy vs stand-alone phacoemulsification: multicenter database study.

Publisher: Wolters Kluwer on behalf of ASCRS and ESCRS Country of Publication: United States NLM ID: 8604171 Publication Model: Print Cited Medium: Internet ISSN: 1873-4502 (Electronic) Linking ISSN: 08863350 NLM ISO Abbreviation: J Cataract Refract Surg Subsets: MEDLINE

Publication: 2020- : [Hagerstown, MD] : Wolters Kluwer on behalf of ASCRS and ESCRS
Original Publication: [Fairfax, Va.] : American Society of Cataract and Refractive Surgery, [c1986-

Phacoemulsification*/adverse effects ; Visual Acuity*/physiology ; Intraoperative Complications* ; Vitrectomy*/methods ; Macular Edema*/etiology; Humans ; Retrospective Studies ; Male ; Female ; Aged ; Databases, Factual ; Lens Implantation, Intraocular ; Postoperative Complications/epidemiology ; Middle Aged ; Incidence ; Aged, 80 and over

Purpose: To compare the rates of intraoperative complications, cystoid macular edema (CME), and visual outcomes in eyes that underwent combined phacovitrectomy (Phaco-PPV) with those with stand-alone phacoemulsification.
Setting: A multicenter database study across 8 ophthalmology departments in the United Kingdom.
Design: Retrospective, nonrandomized, multicenter comparative study.
Methods: We extracted data for patients who underwent Phaco-PPV and stand-alone phacoemulsification from January 2000 through May 2015. The primary study outcomes were the rates of intraoperative complications and CME postoperatively.
Results: The study included 2222 eyes in the combined Phaco-PPV group and 112 689 in the stand-alone phacoemulsification group. The combined Phaco-PPV group had a higher incidence of posterior capsule rupture (2.7% vs 1.7%), dropped lens fragments (0.5% vs 0.2%), suprachoroidal hemorrhage (0.4% vs 0.1%), and CME (3.6 vs 1.1%) ( P < .001). The mean preoperative visual acuity (VA) was lower in the combined Phaco-PPV group, with a mean VA of 0.98 vs 0.68 logMAR (Snellen ∼20/200 vs 20/100) in the stand-alone phacoemulsification group ( P < .001). VA at 24 weeks was lower in the combined Phaco-PPV group (mean VA 0.67 vs 0.22 logMAR (Snellen ∼20/100 vs 20/32), P < .001).
Conclusions: Combined Phaco-PPV had higher rates of intraoperative complications and CME, along with a lower postoperative VA, when compared with stand-alone phacoemulsification surgery.
(Copyright © 2024 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.)

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Date Created: 20240523 Date Completed: 20240826 Latest Revision: 20240827

20240827

PMC11338024

10.1097/j.jcrs.0000000000001493

38780417