ABSTRACT
To evaluate the role and safety of 23 pars plana vitrectomy combined with phacoemulsification.
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.
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.
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.
Keywords: 23 GA parsplana vitrectomy, Phacoemulsification