Posters

Cataract surgery after retinal detachment repair by pars plana vitrectomy

Poster Details

First Author: F. Spencer SPAIN

Co Author(s):                        

Abstract Details

Purpose:

To describe clinical features, complications and visual outcomes of patients undergoing cataract surgery with prior vitrectomy for retinal detachment.

Setting:

Anterior Segment Department in a tertiary Hospital in Spain.

Methods:

Retrospective study of patients undergoing cataract surgery between January 2008 and March 2014.

Results:

Review of 892 cataract surgeries, 38 patients had retinal detachment repair by vitrectomy with an estimated incidence of 4,26%. The average age was 55 years. The type of retinal detachment is recorded in 76% of the patients, 60% was macula-on and 40% was macula-off. The most common type of cataract, according to LOCS III classification was N4; C2-C3 with a posterior subcapsular component in the 38% of the cases. The time between vitrectomy and cataract surgery was 1 year. The most common intraoperative complication was incomplete capsulorhexis and zonular dialysis. 60% of patients improved visual acuity more than 2 Snellen lines. 43% of patients developed posterior capsular opacification which required YAG capsulotomy. 5% of patients had a new retinal detachment.

Conclusions:

Cataract surgery in previously vitrectomized patients produces good visual results although rates of intraoperative complications tend to be higher. The data obtained in this study are consistent with previously published studies.

Financial Disclosure:

NONE