Clinical Ophthalmology (Oct 2021)
Central Pars Plana Vitrectomy + Phacoemulsification + Intraocular Lens Implantation in Patients with Small Eyes, Cataract, and Narrow Anterior Chambers
Abstract
Fermín Silva Cayatopa, Ana Luisa González Méndez, Robinson Barrientos Ortiz, Alejandro Silva Diaz, Fernando Godin Estrada Department of Ophthalmology, Research Department Clínica La Luz, Lima, PeruCorrespondence: Ana Luisa González MéndezResearch Department Clínica La Luz, Department of Ophthalmology, Av. Arequipa 1148, Lima, PeruTel +51 947273992Email [email protected]: To evaluate the results of central pars plana vitrectomy + phacoemulsification + intraocular lens implantation in patients with small eyes, cataract, and narrow chambers.Methods: This prospective study was carried out in 89 eyes of 58 patients undergoing central pars plana vitrectomy + phacoemulsification + IOL implantation in small eyes with cataract at Clínica La Luz Eye Institute in Lima, Peru.Results: The mean best corrected visual acuity (BCVA) was 0.8± 0.6 preoperatively, 0.5± 0.6 at 1 month, 0.3± 0.3 at 6 months, 0.1± 0.1 at 9 months, and 0.05± 0.1 at 1 year, which was statistically significant from the preoperative period to 1 year of follow-up. Mean intraocular pressure was 22.09± 2.4 mmHg preoperatively, 14.55± 2.9 mmHg at 1 day, 12.94± 2.04 mmHg at 1 month, 12.01± 1.2 mmHg at 6 months, 12.20± 1.9 mmHg at 9 months, and 11.34± 1.1 mmHg at 1 year. The reduction in the intraocular pressure from the preoperative control period to the follow-up at 1 year was statistically significant. There was only one complication, a rupture of the posterior capsule, which was quickly resolved.Conclusion: Central pars plana vitrectomy with phacoemulsification is a safe and effective technique to perform in narrow chambers with all types of cataracts, in experienced hands, which can avoid intraoperative complications.Keywords: best corrected visual acuity, intraocular pressure, intraocular lens implantation, crowded anterior chamber
