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

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dc.contributor.authorNavarro, Rodrigo M.en_ZA
dc.contributor.authorMachado, Leonardo M.en_ZA
dc.contributor.authorMaia Jr., Ossiresen_ZA
dc.contributor.authorWu, Lihtehen_ZA
dc.contributor.authorFarah, Michel E.en_ZA
dc.contributor.authorMagalhaes Jr., Octavianoen_ZA
dc.contributor.authorArevalo, J. Fernandoen_ZA
dc.contributor.authorMaia, Mauricioen_ZA
dc.date.accessioned2016-10-12T14:22:27Z
dc.date.available2016-10-12T14:22:27Z
dc.date.issued2015-08
dc.descriptionCITATION: 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.
dc.descriptionThe original publication is available at https://www.hindawi.com/journals/joph
dc.description.abstractPurpose. 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 adviseden_ZA
dc.description.abstractAFRIKAANSE OPSOMMING: Geen opsomming beskikbaaren_ZA
dc.description.urihttps://www.hindawi.com/journals/joph/2015/156910/
dc.description.versionPublisher's version
dc.format.extent8 pagesen_ZA
dc.identifier.citationNavarro, 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.
dc.identifier.issn2090-0058 (online)
dc.identifier.otherdoi:10.1155/2015/156910
dc.identifier.urihttp://hdl.handle.net/10019.1/99719
dc.language.isoen_ZAen_ZA
dc.publisherHindawien_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectPosterior vitreous detachmenten_ZA
dc.subjectPosterior segment (Eye)en_ZA
dc.subjectPars plana -- Vitrectomyen_ZA
dc.titleSmall-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 Groupen_ZA
dc.typeArticleen_ZA
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