Comparison of Scleral Tunnel and Clear Cornea Incision in Phacoemulsification Combined with Pars Plana Vitrectomy
Journal of the Korean Ophthalmological Society
;
: 1583-1588, 2006.
Article
in Korean
| WPRIM
| ID: wpr-54404
ABSTRACT
PURPOSE:
To compare the results of two different incisionMETHODS:
scleral tunnel vs clear cornea in cases phacoemulsification and posterior chamber intraocular lens implantation combined with pars plana vitrectomy.METHODS:
Between August 2003 and August 2005, 61 eyes with cataract and vitreoretinal diseases were treated by phacoemulsification combined with pars plana vitrectomy and PC-IOL implantation. Preoperative demographic data and postoperative best-corrected visual acuity (BCVA), astigmatism change, and complications were analyzed.RESULTS:
The mean age of patients in the scleral tunnel incision (Group 1) and clear corneal incision (Group 2) was 57.09+/-13.72 and 58.83+/-11.83 years respectively. Diabetes mellitus was the most common underlying disease resulting in vitreous opacity. Vision improved in 82% of Group 1 and 78% of Group 2. There was a significant difference in the postoperative astigmatic changes between Group 1 and 2 (1.37+/-1.13D vs 0.78+/-0.67D). No discernible differences such as recurrent vitreous hemorrhage, inflammation in anterior chamber, increased intraocular pressure or iris changes were noted between the two groups.CONCLUSIONS:
Although there was no difference in the postoperative BCVA, two different incision methods yielded significant different postoperative astigmatic changes.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Astigmatism
/
Vitrectomy
/
Cataract
/
Vitreous Hemorrhage
/
Visual Acuity
/
Iris
/
Phacoemulsification
/
Cornea
/
Lens Implantation, Intraocular
/
Diabetes Mellitus
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2006
Type:
Article
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