ABSTRACT

Purpose:

To evaluate the role and safety of 23 pars plana vitrectomy combined with phacoemulsification.

Materials and Methods:

We recorded 60 eyes of 41 patients who had 23 gauge pars plana vicrectomy combined with phacoemulsification. The average age was 61+ 8.5 and postoperative follow up approximotely was 13 + 6.4 months. In 28 patients with proliferative diabetic retinopathy, in 14 patients with vitreus bleeding, in 5 patients with retinal detachment, in 6 patients with epiretnal membrane, 4 patients with macular hole, in 2 patients subhyaloid bleeding. All of patients was implanted IOL.

Results:

Intraoperatively in to patients occured posterior capsuler rupture. In this case IOL was implanted in sulcus. Postoperatively in 4 patients occured temporary hipotony, in 2 patients increased IOP which was respons to medical treatment and in 2 patients occured fibrin transudation in anterior chamber which was respons to medical treatment. In 13 patients developed posterior capsuler opacification and Nd: yag laser posterior capsulotomy was performed in 8 patients.

Conclusion:

According to our clinical experince, 23 gauge pars plana vitrectomy combined with phacoemulsification is safety and it is a surgical procedure which improved visual acuity.