Vitrectomy simultaneously combined with phacoemulsification for treating PDR

• Main Authors: Yu-Hong Li, Ling-Kui Ma
• Format: Article
• Language: English
• Published: Press of International Journal of Ophthalmology (IJO PRESS) 2019-03-01
• Series: Guoji Yanke Zazhi
• Subjects: vitrectomy; phacoemulsification; proliferative diabetic retinopathy; complication
• Online Access: http://ies.ijo.cn/cn_publish/2019/3/201903030.pdf

AIM: To explore the effects of vitrectomy simultaneously combined with phacoemulsification on visual acuity, intraocular pressure(IOP), central macular thickness(CMT)and postoperative complications in patients with proliferative diabetic retinopathy(PDR).<p>METHODS:Totally 90 PDR patients(98 eyes)admitted to the hospital from February 2015 to February 2017 were divided into two groups according to the principle of voluntariness: group A(vitectomy simultaneously combined with lensectomy, 45 cases, 50 eyes)and group B(vitrectomy simultaneously combined with phacoemulsification, 45 cases, 48 eyes). The follow-up period was 6mo. The visual acuity improvement, IOP before and after surgery, CMT and incidence of postoperative complications were compared between the two groups.<p>RESULTS: The visual acuity improvement after surgery in group B was significantly better than that in group A, and the improving rate of visual acuity was significantly higher than that in group A(<i>P</i><0.05). There was no significant difference in IOP before and after surgery between the two groups(<i>P</i>>0.05). The CMT after surgery was decreased significantly in both groups. CMT in both groups was not statistically different(<i>P</i>>0.05). The incidence rates of postoperative complication ssuch as INV, capsule turbidity, corneal edema, pupil hijacking and hard exudate in group B were significantly lower than those in group A(<i>P</i><0.05).<p>CONCLUSION:Vitrectomy simultaneously combined with phacoemulsification have obvious efficacy on PDR, which promote recovery of postoperative visual acuity, reduce CMT, and it has low risk of postoperative complications.