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NR 4-6/2005
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Ocena wyników
zabiegów witrektomii przez pars plana z jednoczesnym usunięciem
zaćmy
Evaluation of results of
combined pars plana vitrectomy and cataract removal
Michał Wilczyński, Zbigniew Pikulski,
Krzysztof Dzięgielewski, Wojciech Omulecki
Z Kliniki Chorób Oczu Uniwersytetu Medycznego w Łodzi
Kierownik: dr hab. n. med. Wojciech Omulecki |
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| Summary: |
Purpose: Cataract
often coexists with pathologies of the vitreous body.
Moreover, after several months after vitrectomy, the
lens becomes opaque. Lens opacities interfere with
appropriate visualisation of the vitreous chamber and
the eye fundus, which makes performing vitreoretinal
procedures difficult. For this reason, in such patients,
a combined procedure of pars plana vitrectomy and
cataract extraction can be considered. This is
retrospective analysis of the indications and results of
combined cataract extraction and pars plana vitrectomy.
Material and methods: The data were based on case
histories of patients who underwent combined cataract
extraction and pars plana vitrectomy in the years 2001 –
2003, in the Department of Ophthalmology, Medical
University of Łódź. The evaluated data included:
diagnosis, pre- and postoperative best corrected visual
acuity, intraocular pressure, pre- and postoperative
state of the anterior and posterior segment of the eye
and the employed surgical techniques.
Results: The examined group consisted of 40
patients (40 eyes), including 20 men and 20 women, at
the age from 13 to 76 years old (mean 55.7, SD±14.6).
The indications to vitrectomy were: vitreous haemorrhage,
retinal detachment, vitreoretinal proliferations,
intraocular foreign body, persistent hyaloid artery and
endophthalmitis.
Phacoemulsification was the most often used method of
cataract extraction (34 people, 85%). In three patients
cataract was removed by classical extracapsular cataract
extraction (ECCE), and in further 3 patients bimanual
aspiration was used.
In terms of anatomical results, therapeutic success was
achieved in 35 cases (87,5%). Improvement of visual
acuity was observed in 28 people (70%), unchanged visual
acuity in 10 people (25%), and a decrease in visual
acuity in 2 patients (5%). Improvement of visual acuity
at least 2 lines on Snellen's chart was achieved in 20
patients (50%). |
| Słowa kluczowe: |
operacja zaćmy,
witrektomia, zabieg złożony. |
| Key words: |
cataract surgery,
vitrectomy, combined surgery. |
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