Pars plana posterior capsulectomy using a 27 gauge micro incision vitrectomy system for visually significant posterior capsule opacification

Session Details

Session Title: PCO. Cataract Surgery Complications/Management

Session Date/Time: Tuesday 08/09/2015 | 08:00-10:30

Paper Time: 09:18

Venue: Room 1

First Author: : A.Puiu UK

Co Author(s): :    Z. Koshy   S. Srinivasan                 

Abstract Details

Purpose:

To evaluate the efficacy, safety and visual outcomes following pars plana posterior capsulectomy using a 27-gauge microincision vitrectomy system (27G - MVS) for visually significant posterior capsule opacification (PCO).

Setting:

Vitreo-retinal service, University Hospital Ayr, Ayr, Scotland, United Kingdom.

Methods:

Prospective interventional case series. Five eyes of five patients with dense PCO not amenable to laser capsulotomy underwent pars plana posterior capsulectomy with a 27-gauge MVS under topical and subconjunctival anaesthesia by a single surgeon. The cohort comprised of four males and one female with a mean age of 67.2 years. Pars plana infusion was used in 4 eyes while one had an anterior chamber maintainer intraoperatively. Uncorrected(UDVA) and corrected(CDVA) distance visual acuities, and intraocular pressure (IOP) were evaluated pre and post operatively. Post-operatively all eyes had topical antibiotic and steroid eye drops for a period of four weeks.

Results:

There were no intraoperative or postoperative complications. Posterior capsulectomy was successfully achieved in all eyes. The CDVA improved from counting fingers preoperatively to a mean of 0.3 log mar postoperatively.

Conclusions:

In eyes with thick PCO (not amenable to laser capsulotomy) pars plana posterior capsulectomy with a 27G MVS appears to be a safe and effective technique providing rapid post operative visual recovery with minimal ocular inflammation.

Financial Interest:

NONE