Small-gauge pars plana vitrectomy for the management of symptomatic posterior vitreous detachment after phacoemulsification and multifocal intraocular lens implantation : a pilot study from the Pan-American Collaborative Retina Study Group
Date
2015-08
Journal Title
Journal ISSN
Volume Title
Publisher
Hindawi
Abstract
Purpose. To determine the efficacy of 23-gauge pars plana vitrectomy (PPV) for symptomatic posterior vitreous detachment (PVD) on visual acuity (VA) and quality after multifocal intraocular lenses (IOLs). Methods. In this prospective case series, patients who developed symptomatic PVD and were not satisfied with visual quality due to floaters and halos after multifocal IOL implantation underwent PPV. Examinations included LogMAR uncorrected visual acuity (UCVA), intraocular pressure, biomicroscopy, and indirect ophthalmoscopy at baseline and 1, 7, 30, and 180 days postoperatively. Ultrasonography and aberrometry were performed.
The Visual Functioning Questionnaire 25 (VFQ-25) was administered preoperatively and at 30 days postoperatively. Both the postoperative UCVA and questionnaire results were compared to preoperative findings using the Wilcoxon test. Results. Sixteen
eyes of 8 patients were included. VA significantly improved from 0.17 to 0.09 postoperatively (𝑃 = 0.017). All patients reported
improvement of halos, glare, and floaters. VFQ-25 scores significantly improved in general vision (𝑃 = 0.023), near activities
(𝑃 = 0.043), distance activities (𝑃 = 0.041), mental health (𝑃 = 0.011), role difficulties (𝑃 = 0.042), and driving (𝑃 = 0.016). Conclusion. PPV may increase UCVA and quality of vision in patients with bilateralmultifocal IOLs and symptomatic PVD. Larger
studies are advised
AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar
AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar
Description
CITATION: Navarro, R. M. et al. 2015. Small-gauge pars plana vitrectomy for the management of symptomatic posterior vitreous detachment after phacoemulsification and multifocal intraocular lens implantation : a pilot study from the Pan-American Collaborative Retina Study Group. Journal of Ophthalmology, 2015, Article ID 156910, doi:10.1155/2015/156910.
The original publication is available at https://www.hindawi.com/journals/joph
The original publication is available at https://www.hindawi.com/journals/joph
Keywords
Posterior vitreous detachment, Posterior segment (Eye), Pars plana -- Vitrectomy
Citation
Navarro, R. M. et al. 2015. Small-gauge pars plana vitrectomy for the management of symptomatic posterior vitreous detachment after phacoemulsification and multifocal intraocular lens implantation : a pilot study from the Pan-American Collaborative Retina Study Group. Journal of Ophthalmology, 2015, Article ID 156910, doi:10.1155/2015/156910.