Combined 23-gauge transconjunctival sutureless vitrectomy and cataract surgery in cases with cataract and posterior segment diseases

ABSTRACT

Combined cataract surgery and transconjunctival sutureless vitrectomy are a good option in patients with cataract and vitreoretinal diseases. To evaluate the effectiveness, outcomes, and complications of combined 23-gauge transconjunctival sutureless vitrectomy and cataract surgery. A retrospective case series was conducted at the Beyoglu Eye Education and Research Hospital. In this study, 28 eyes of 28 patients underwent combined 23-gauge transconjunctival sutureless vitrectomy and phacoemulsification and IOL implantation for cataract and various posterior segment diseases. The outcome measures included, visual acuity, intraocular pressure changes, and anatomical success were evaluated. The mean follow-up was 4.8 months [range, 3-15 months]. Mean overall preoperative visual acuity was 20/333, and final acuity was 20/95 [P < 0.001]. Mean intraocular pressure [IOP] on the preoperative and first postoperative day was 15.6 +/- 7.5 and 13.8 +/- 3.3 mmHg, respectively [P > 0.05]. Three eyes [10.7%] had postoperative hypotony [<6 mmHg]that all recovered spontaneously within the first postoperative week. Three eyes [10.7%] required laser treatment for iatrogenic retinal tears. Anatomical success was obtained in all cases. No serious complications such as endophthalmitis were observed during the follow-up period. Combined transconjunctival sutureless vitrectomy and phacoemulsification was effective and safe in patients with significant lens opacities and vitreoretinal pathology. Although the anatomic and visual outcomes were satisfactory, the outcomes depended mainly on underlying vitreoretinal pathology