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Combined 23-gauge transconjunctival sutureless vitrectomy and cataract surgery in cases with cataract and posterior segment diseases

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Author(s): Yazici Ahmet | Kara Necip | Bozkurt Ercument | Cakir Mehmet | Goker Hasan | Demirok Ahmet | Yilmaz Omer

Journal: Middle East African Journal of Ophthalmology
ISSN 0974-9233

Volume: 17;
Issue: 4;
Start page: 359;
Date: 2010;
Original page

Keywords: 23-Gauge Transconjunctival Sutureless Vitrectomy | Cataract Surgery | Postoperative Hypotony

ABSTRACT
Background: Combined cataract surgery and transconjunctival sutureless vitrectomy are a good option in patients with cataract and vitreoretinal diseases. Aim: To evaluate the effectiveness, outcomes, and complications of combined 23-gauge transconjunctival sutureless vitrectomy and cataract surgery. Settings and Design: A retrospective case series was conducted at the Beyoglu Eye Education and Research Hospital. Materials and Methods: In this study, 28 eyes of 28 patients underwent combined 23-gauge transconjunctival sutureless vitrectomy and phacoemulsification and IOL implantation for cataract and various posterior segment diseases. The outcome measures included, visual acuity, intraocular pressure changes, and anatomical success were evaluated. Results: The mean follow-up was 4.8 months (range, 3-15 months). Mean overall preoperative visual acuity was 20/333, and final acuity was 20/95 (P < 0.001). Mean intraocular pressure (IOP) on the preoperative and first postoperative day was 15.6 ± 7.5 and 13.8 ± 3.3 mmHg, respectively (P > 0.05). Three eyes (10.7%) had postoperative hypotony (
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