Combined pars plana vitrectomy with phacoemulsification for rhegmatogenous retinal detachment repair

Josef Guber; Maico Bentivoglio; Veit Sturm; Hendrik Pn Scholl; Christophe Valmaggia

doi:10.2147/OPTH.S215352

Combined pars plana vitrectomy with phacoemulsification for rhegmatogenous retinal detachment repair

Clin Ophthalmol. 2019 Aug 21:13:1587-1591. doi: 10.2147/OPTH.S215352. eCollection 2019.

Authors

Josef Guber^{1

2}, Maico Bentivoglio¹, Veit Sturm¹, Hendrik Pn Scholl^{2

3

4}, Christophe Valmaggia¹

Affiliations

¹ Eye Clinic, Cantonal Hospital Sankt Gallen, Sankt Gallen, Switzerland.
² Department of Ophthalmology, University of Basel, Basel, Switzerland.
³ Institute of Molecular and Clinical Ophthalmology Basel (IOB), Basel, Switzerland.
⁴ Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA.

Abstract

Purpose: To investigate the outcome after combined phaco-vitrectomy in rhegmatogenous retinal detachment (RRD) repair.

Patients and methods: In this retrospective study, we included all patients who underwent pars plana vitrectomy (PPV) for RRD between January 2013 and December 2017. The main outcome measure was the retinal re-detachment rate after combined phaco-vitrectomy.

Results: Overall, 1017 eyes with RRD were included. All eyes received PPV, while in 516 eyes additional phacoemulsification was performed. A retinal re-detachment occurred in 103 patients (10.1%). No significant difference in the rate of re-detachment was found if additional phacoemulsification was performed (p=0.641). Subgroup calculations showed a significant higher rate of re-detachment in patients with a PVR (p=0.0003) and in patients where silicone oil was used as primary tamponade (p=0.0001) as well as in macula off RRDs (p=0.034).

Conclusion: Additional phacoemulsification during vitrectomy for RRD is not associated with higher rate of retinal re-detachment.

Keywords: cataract; phacoemulsification; retinal detachment; vitrectomy.