A Database Study of Visual Outcomes and Intraoperative Complications of Postvitrectomy Cataract Surgery

A Database Study of Visual Outcomes and Intraoperative Complications of Postvitrectomy Cataract Surgery

To analyze the visual outcomes and rate of intraoperative complications of phacoemulsification surgery after prior pars plana vitrectomy (PPV). Retrospective, multicenter database study. Eyes that underwent phacoemulsification between June 2005 and March 2015 at 8 sites in the United Kingdom. Study...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Ophthalmology (Rochester, Minn.) Minn.), 2018-11, Vol.125 (11), p.1683-1691
Hauptverfasser: Soliman, Mohamed Kamel, Hardin, Joshua S., Jawed, Fayez, Uwaydat, Sami H., Faramawi, Mohammed F., Chu, Colin J., Yang, Yit C., Sallam, Ahmed B.
Format: Artikel
Sprache:eng
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1691
container_issue 11
container_start_page 1683
container_title Ophthalmology (Rochester, Minn.)
container_volume 125
creator Soliman, Mohamed Kamel
Hardin, Joshua S.
Jawed, Fayez
Uwaydat, Sami H.
Faramawi, Mohammed F.
Chu, Colin J.
Yang, Yit C.
Sallam, Ahmed B.
description To analyze the visual outcomes and rate of intraoperative complications of phacoemulsification surgery after prior pars plana vitrectomy (PPV). Retrospective, multicenter database study. Eyes that underwent phacoemulsification between June 2005 and March 2015 at 8 sites in the United Kingdom. Study eyes were classified as vitrectomized (prior PPV group) or nonvitrectomized (reference group) depending on the vitreous state at the time of cataract surgery. Eyes with multiple intraocular surgeries or history of ocular diseases known to cause cataract progression or increased risk of intraoperative complications during phacoemulsification were excluded. Logarithm of the minimum angle of resolution (logMAR) visual acuity (VA), rate of intraoperative complications, and time interval to cataract surgery. Eyes in the prior PPV group (n = 2221) had worse preoperative logMAR VA (0.96±0.60 vs. 0.62±0.52, P < 0.0001), were from younger patients, and had longer axial lengths than the nonvitrectomized group (n = 136 533). At all postoperative time points measured up to 24 weeks, mean vision was poorer in the prior PPV group (0.41±0.47 vs. 0.17±0.29 at 4–12 weeks, P < 0.0001) and a smaller proportion of eyes achieved postoperative VA ≤0.30 logMAR (Snellen, ≥20/40) (60.8% vs. 86.5% at 4–12 weeks, P < 0.0001). The rate of posterior capsular rupture was not different between the prior PPV (1.5%) and the nonvitrectomized (1.7%) groups, but the incidences of zonular dialysis (1.3% vs. 0.6%) and dropped nuclear fragments (0.6% vs. 0.2%) were higher in the prior PPV group (P < 0.0001). The mean time interval between PPV and cataract surgery was 399 days. We found a significant improvement in VA with postvitrectomy cataract surgery. However, compared with eyes without prior PPV, there was a worse mean postoperative vision of 0.2 logMAR units, a higher rate of zonular dialysis and dropped nuclear fragments, and a similar rate of posterior capsule rupture.
doi_str_mv 10.1016/j.ophtha.2018.05.027
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2076240823</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0161642017334735</els_id><sourcerecordid>2076240823</sourcerecordid><originalsourceid>FETCH-LOGICAL-c408t-134cf2df8ef4d5cd2992f689dd1c371d6e22e425501e9963bc5b24889a535f4a3</originalsourceid><addsrcrecordid>eNp9kE1r4zAQhsXSZZu2-w-WomMv9urTsS-Fkn5CoYXs9ioUadwq2JYryYH8-yok7bGnYeB552UehP5QUlJCq7_r0o9v6U2XjNC6JLIkbP4DzagUTSHmlB-hWcZoUQlGjtFJjGtCSFVx8Qsdc0IEramYodcrfK2TXukIeJkmu8W-xS8uTrrDT1MyvoeI9WDxw5CC9iMEndwG8ML3Y-dMXvwQd5lnH9PGpQAm-X6LF_lo0Cbh5RReIWzP0M9WdxF-H-Yp-n97829xXzw-3T0srh4LI0idCsqFaZlta2iFlcaypmFtVTfWUsPn1FbAGAgmJaHQNBVfGblioq4bLblshean6GJ_dwz-fYKYVO-iga7TA_gpKkbmFctVjGdU7FETfIwBWjUG1-uwVZSonWK1VnvFaqdYEamy4hw7PzRMqx7sV-jTaQYu9wDkPzcOgorGwWDAup0dZb37vuED4K-P6w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2076240823</pqid></control><display><type>article</type><title>A Database Study of Visual Outcomes and Intraoperative Complications of Postvitrectomy Cataract Surgery</title><source>Elsevier ScienceDirect Journals Complete</source><creator>Soliman, Mohamed Kamel ; Hardin, Joshua S. ; Jawed, Fayez ; Uwaydat, Sami H. ; Faramawi, Mohammed F. ; Chu, Colin J. ; Yang, Yit C. ; Sallam, Ahmed B.</creator><creatorcontrib>Soliman, Mohamed Kamel ; Hardin, Joshua S. ; Jawed, Fayez ; Uwaydat, Sami H. ; Faramawi, Mohammed F. ; Chu, Colin J. ; Yang, Yit C. ; Sallam, Ahmed B.</creatorcontrib><description>To analyze the visual outcomes and rate of intraoperative complications of phacoemulsification surgery after prior pars plana vitrectomy (PPV). Retrospective, multicenter database study. Eyes that underwent phacoemulsification between June 2005 and March 2015 at 8 sites in the United Kingdom. Study eyes were classified as vitrectomized (prior PPV group) or nonvitrectomized (reference group) depending on the vitreous state at the time of cataract surgery. Eyes with multiple intraocular surgeries or history of ocular diseases known to cause cataract progression or increased risk of intraoperative complications during phacoemulsification were excluded. Logarithm of the minimum angle of resolution (logMAR) visual acuity (VA), rate of intraoperative complications, and time interval to cataract surgery. Eyes in the prior PPV group (n = 2221) had worse preoperative logMAR VA (0.96±0.60 vs. 0.62±0.52, P &lt; 0.0001), were from younger patients, and had longer axial lengths than the nonvitrectomized group (n = 136 533). At all postoperative time points measured up to 24 weeks, mean vision was poorer in the prior PPV group (0.41±0.47 vs. 0.17±0.29 at 4–12 weeks, P &lt; 0.0001) and a smaller proportion of eyes achieved postoperative VA ≤0.30 logMAR (Snellen, ≥20/40) (60.8% vs. 86.5% at 4–12 weeks, P &lt; 0.0001). The rate of posterior capsular rupture was not different between the prior PPV (1.5%) and the nonvitrectomized (1.7%) groups, but the incidences of zonular dialysis (1.3% vs. 0.6%) and dropped nuclear fragments (0.6% vs. 0.2%) were higher in the prior PPV group (P &lt; 0.0001). The mean time interval between PPV and cataract surgery was 399 days. We found a significant improvement in VA with postvitrectomy cataract surgery. However, compared with eyes without prior PPV, there was a worse mean postoperative vision of 0.2 logMAR units, a higher rate of zonular dialysis and dropped nuclear fragments, and a similar rate of posterior capsule rupture.</description><identifier>ISSN: 0161-6420</identifier><identifier>EISSN: 1549-4713</identifier><identifier>DOI: 10.1016/j.ophtha.2018.05.027</identifier><identifier>PMID: 30041814</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><ispartof>Ophthalmology (Rochester, Minn.), 2018-11, Vol.125 (11), p.1683-1691</ispartof><rights>2018 American Academy of Ophthalmology</rights><rights>Copyright © 2018 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-134cf2df8ef4d5cd2992f689dd1c371d6e22e425501e9963bc5b24889a535f4a3</citedby><cites>FETCH-LOGICAL-c408t-134cf2df8ef4d5cd2992f689dd1c371d6e22e425501e9963bc5b24889a535f4a3</cites><orcidid>0000-0002-5392-5133 ; 0000-0003-1671-8925 ; 0000-0003-2088-8310</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0161642017334735$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30041814$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soliman, Mohamed Kamel</creatorcontrib><creatorcontrib>Hardin, Joshua S.</creatorcontrib><creatorcontrib>Jawed, Fayez</creatorcontrib><creatorcontrib>Uwaydat, Sami H.</creatorcontrib><creatorcontrib>Faramawi, Mohammed F.</creatorcontrib><creatorcontrib>Chu, Colin J.</creatorcontrib><creatorcontrib>Yang, Yit C.</creatorcontrib><creatorcontrib>Sallam, Ahmed B.</creatorcontrib><title>A Database Study of Visual Outcomes and Intraoperative Complications of Postvitrectomy Cataract Surgery</title><title>Ophthalmology (Rochester, Minn.)</title><addtitle>Ophthalmology</addtitle><description>To analyze the visual outcomes and rate of intraoperative complications of phacoemulsification surgery after prior pars plana vitrectomy (PPV). Retrospective, multicenter database study. Eyes that underwent phacoemulsification between June 2005 and March 2015 at 8 sites in the United Kingdom. Study eyes were classified as vitrectomized (prior PPV group) or nonvitrectomized (reference group) depending on the vitreous state at the time of cataract surgery. Eyes with multiple intraocular surgeries or history of ocular diseases known to cause cataract progression or increased risk of intraoperative complications during phacoemulsification were excluded. Logarithm of the minimum angle of resolution (logMAR) visual acuity (VA), rate of intraoperative complications, and time interval to cataract surgery. Eyes in the prior PPV group (n = 2221) had worse preoperative logMAR VA (0.96±0.60 vs. 0.62±0.52, P &lt; 0.0001), were from younger patients, and had longer axial lengths than the nonvitrectomized group (n = 136 533). At all postoperative time points measured up to 24 weeks, mean vision was poorer in the prior PPV group (0.41±0.47 vs. 0.17±0.29 at 4–12 weeks, P &lt; 0.0001) and a smaller proportion of eyes achieved postoperative VA ≤0.30 logMAR (Snellen, ≥20/40) (60.8% vs. 86.5% at 4–12 weeks, P &lt; 0.0001). The rate of posterior capsular rupture was not different between the prior PPV (1.5%) and the nonvitrectomized (1.7%) groups, but the incidences of zonular dialysis (1.3% vs. 0.6%) and dropped nuclear fragments (0.6% vs. 0.2%) were higher in the prior PPV group (P &lt; 0.0001). The mean time interval between PPV and cataract surgery was 399 days. We found a significant improvement in VA with postvitrectomy cataract surgery. However, compared with eyes without prior PPV, there was a worse mean postoperative vision of 0.2 logMAR units, a higher rate of zonular dialysis and dropped nuclear fragments, and a similar rate of posterior capsule rupture.</description><issn>0161-6420</issn><issn>1549-4713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kE1r4zAQhsXSZZu2-w-WomMv9urTsS-Fkn5CoYXs9ioUadwq2JYryYH8-yok7bGnYeB552UehP5QUlJCq7_r0o9v6U2XjNC6JLIkbP4DzagUTSHmlB-hWcZoUQlGjtFJjGtCSFVx8Qsdc0IEramYodcrfK2TXukIeJkmu8W-xS8uTrrDT1MyvoeI9WDxw5CC9iMEndwG8ML3Y-dMXvwQd5lnH9PGpQAm-X6LF_lo0Cbh5RReIWzP0M9WdxF-H-Yp-n97829xXzw-3T0srh4LI0idCsqFaZlta2iFlcaypmFtVTfWUsPn1FbAGAgmJaHQNBVfGblioq4bLblshean6GJ_dwz-fYKYVO-iga7TA_gpKkbmFctVjGdU7FETfIwBWjUG1-uwVZSonWK1VnvFaqdYEamy4hw7PzRMqx7sV-jTaQYu9wDkPzcOgorGwWDAup0dZb37vuED4K-P6w</recordid><startdate>201811</startdate><enddate>201811</enddate><creator>Soliman, Mohamed Kamel</creator><creator>Hardin, Joshua S.</creator><creator>Jawed, Fayez</creator><creator>Uwaydat, Sami H.</creator><creator>Faramawi, Mohammed F.</creator><creator>Chu, Colin J.</creator><creator>Yang, Yit C.</creator><creator>Sallam, Ahmed B.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5392-5133</orcidid><orcidid>https://orcid.org/0000-0003-1671-8925</orcidid><orcidid>https://orcid.org/0000-0003-2088-8310</orcidid></search><sort><creationdate>201811</creationdate><title>A Database Study of Visual Outcomes and Intraoperative Complications of Postvitrectomy Cataract Surgery</title><author>Soliman, Mohamed Kamel ; Hardin, Joshua S. ; Jawed, Fayez ; Uwaydat, Sami H. ; Faramawi, Mohammed F. ; Chu, Colin J. ; Yang, Yit C. ; Sallam, Ahmed B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-134cf2df8ef4d5cd2992f689dd1c371d6e22e425501e9963bc5b24889a535f4a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soliman, Mohamed Kamel</creatorcontrib><creatorcontrib>Hardin, Joshua S.</creatorcontrib><creatorcontrib>Jawed, Fayez</creatorcontrib><creatorcontrib>Uwaydat, Sami H.</creatorcontrib><creatorcontrib>Faramawi, Mohammed F.</creatorcontrib><creatorcontrib>Chu, Colin J.</creatorcontrib><creatorcontrib>Yang, Yit C.</creatorcontrib><creatorcontrib>Sallam, Ahmed B.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmology (Rochester, Minn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soliman, Mohamed Kamel</au><au>Hardin, Joshua S.</au><au>Jawed, Fayez</au><au>Uwaydat, Sami H.</au><au>Faramawi, Mohammed F.</au><au>Chu, Colin J.</au><au>Yang, Yit C.</au><au>Sallam, Ahmed B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Database Study of Visual Outcomes and Intraoperative Complications of Postvitrectomy Cataract Surgery</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>2018-11</date><risdate>2018</risdate><volume>125</volume><issue>11</issue><spage>1683</spage><epage>1691</epage><pages>1683-1691</pages><issn>0161-6420</issn><eissn>1549-4713</eissn><abstract>To analyze the visual outcomes and rate of intraoperative complications of phacoemulsification surgery after prior pars plana vitrectomy (PPV). Retrospective, multicenter database study. Eyes that underwent phacoemulsification between June 2005 and March 2015 at 8 sites in the United Kingdom. Study eyes were classified as vitrectomized (prior PPV group) or nonvitrectomized (reference group) depending on the vitreous state at the time of cataract surgery. Eyes with multiple intraocular surgeries or history of ocular diseases known to cause cataract progression or increased risk of intraoperative complications during phacoemulsification were excluded. Logarithm of the minimum angle of resolution (logMAR) visual acuity (VA), rate of intraoperative complications, and time interval to cataract surgery. Eyes in the prior PPV group (n = 2221) had worse preoperative logMAR VA (0.96±0.60 vs. 0.62±0.52, P &lt; 0.0001), were from younger patients, and had longer axial lengths than the nonvitrectomized group (n = 136 533). At all postoperative time points measured up to 24 weeks, mean vision was poorer in the prior PPV group (0.41±0.47 vs. 0.17±0.29 at 4–12 weeks, P &lt; 0.0001) and a smaller proportion of eyes achieved postoperative VA ≤0.30 logMAR (Snellen, ≥20/40) (60.8% vs. 86.5% at 4–12 weeks, P &lt; 0.0001). The rate of posterior capsular rupture was not different between the prior PPV (1.5%) and the nonvitrectomized (1.7%) groups, but the incidences of zonular dialysis (1.3% vs. 0.6%) and dropped nuclear fragments (0.6% vs. 0.2%) were higher in the prior PPV group (P &lt; 0.0001). The mean time interval between PPV and cataract surgery was 399 days. We found a significant improvement in VA with postvitrectomy cataract surgery. However, compared with eyes without prior PPV, there was a worse mean postoperative vision of 0.2 logMAR units, a higher rate of zonular dialysis and dropped nuclear fragments, and a similar rate of posterior capsule rupture.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>30041814</pmid><doi>10.1016/j.ophtha.2018.05.027</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5392-5133</orcidid><orcidid>https://orcid.org/0000-0003-1671-8925</orcidid><orcidid>https://orcid.org/0000-0003-2088-8310</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0161-6420
ispartof Ophthalmology (Rochester, Minn.), 2018-11, Vol.125 (11), p.1683-1691
issn 0161-6420
1549-4713
language eng
recordid cdi_proquest_miscellaneous_2076240823
source Elsevier ScienceDirect Journals Complete
title A Database Study of Visual Outcomes and Intraoperative Complications of Postvitrectomy Cataract Surgery
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T15%3A24%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Database%20Study%20of%20Visual%20Outcomes%20and%20Intraoperative%20Complications%20of%20Postvitrectomy%20Cataract%20Surgery&rft.jtitle=Ophthalmology%20(Rochester,%20Minn.)&rft.au=Soliman,%20Mohamed%20Kamel&rft.date=2018-11&rft.volume=125&rft.issue=11&rft.spage=1683&rft.epage=1691&rft.pages=1683-1691&rft.issn=0161-6420&rft.eissn=1549-4713&rft_id=info:doi/10.1016/j.ophtha.2018.05.027&rft_dat=%3Cproquest_cross%3E2076240823%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2076240823&rft_id=info:pmid/30041814&rft_els_id=S0161642017334735&rfr_iscdi=true