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NR 4-5/2004
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Łączone operacje
usunięcia zaćmy metodą fakoemulsyfikacji, wszczepienia sztucznej
soczewki wewnątrzgałkowej i witrektomii przez płaską część ciała
rzęskowego
Combined surgery,
phacoemulsification, implantation of intraocular lens and pars
plana vitrectomy
Jerzy Nawrocki, Sławomir Cisiecki
Z Kliniki Okulistycznej „Jasne Błonia” w Łodzi
Kierownik: prof. dr hab. n. med. Jerzy Nawrocki |
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| Summary: |
Purpose: To
evaluate the effectiveness, technical feasibility and
incidence of complications after combining pars plana
vitrectomy, phacoemulsification and intraocular lens
implantation.
Material and methods: The results of combined
vitreoretinal and cataract surgery in 100 eyes of 96
patients were retrospectively and prospectively analyzed.
The mean follow-up period was 8.4 months. All patients
had clinically significant lens opacities and
vitreoretinal pathology requiring pars plana vitrectomy.
Indications for vitreoretinal surgery included:
persistent vitreous haemorrhage (28 eyes), vitreous
hemorrhage combined with tractional retinal detachment
(50 eyes), tractional retinal detachment without
vitreous haemorrhage caused by proliferative diabetic
retinopathy (7 eyes), rheumatogenous retinal detachment
with proliferative vitreoretinopathy (10 eyes) and
dislocated crystalline lens in the vitreous (5 eyes).
Results: Postoperatively, best corrected visual
acuity improved in 81 eyes (81%) – by two lines or more
in 31 eyes (31%) - by less than two lines in 50 eyes
(50%). In 14 eyes (14%) visual acuity was unchanged and
was worse in 5 cases (5%). Postoperative complications
included fibrin reaction, posterior synechias of the
iris, vitreous hemorrhage, neovascular glaucoma,
posterior capsule opacification, redetachment of retina.
Conclusions: Our cases confirm previous study,
that performing phacoemulsification, IOL implantation
and vitrectomy in one operation is safe and allows
visual recovery with good technical results. |
| Słowa kluczowe: |
operacje łączone,
witrektomia, fakoemulsyfikacja, soczewki wewnątrzgałkowe. |
| Key words: |
combined surgery,
vitrectomy, phacoemulsification, IOL implantation. |
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