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Short-term outcomes of combined pars plana vitrectomy for epiretinal membrane and phacoemulsification surgery with multifocal intraocular lens implantation.
Clin Ophthalmol 2019; 13:723-730CO

Abstract

Purpose

The purpose of this study was to evaluate the functional and anatomical outcomes of combined phacovitrectomy with multifocal intraocular lens (mfIOL) implantation.

Methods

Retrospective, interventional, non-comparative case series of six eyes that received a combined phacoemulsification surgery with apodized, diffractive mfIOL implantation for cataract and pars plana vitrectomy (PPV) with membrane peeling for epiretinal membrane (ERM). Outcome measures included distance and near visual acuities (DVA and NVA), central macular thickness (CMT), intraocular pressure (IOP), and disruption of external limiting membrane (ELM) or inner-segment outer-segment (IS/OS) junction.

Results

Mean logMAR glare DVA improved from 0.40 (Snellen 20/50) preoperatively to a mean uncorrected DVA of 0.038 (Snellen 20/22) (P=0.004) at 6 months after surgery. All eyes achieved NVA of J2 or better by 12 months postoperatively. Median CMT improved by 10 µm and mean IOP increased by 1 mmHg at 12 months postoperatively. Percentage of patients with ELM or IS/OS disruptions decreased from 66.7% to 33.3%. Two eyes demonstrated residual metamorphopsia on Amsler grid testing postoperatively. Postoperatively, four eyes required laser capsulotomy and one required LASEK for refractive correction.

Conclusion

Combined phacovitrectomy, membrane peeling, and mfIOL implantation improved VA in patients with idiopathic ERM. Multifocality was achieved, but final visual outcome was delayed due to posterior capsular opacification and macular healing.

Authors+Show Affiliations

Department of Ophthalmology, University of Cincinnati, Cincinnati, OH, USA, rsisk@cincinnatieye.com.Department of Ophthalmology, University of Cincinnati, Cincinnati, OH, USA, rsisk@cincinnatieye.com. Cincinnati Eye Institute, Cincinnati, OH, USA, rsisk@cincinnatieye.com.Department of Ophthalmology, University of Cincinnati, Cincinnati, OH, USA, rsisk@cincinnatieye.com. Cincinnati Eye Institute, Cincinnati, OH, USA, rsisk@cincinnatieye.com.Department of Ophthalmology, University of Cincinnati, Cincinnati, OH, USA, rsisk@cincinnatieye.com. Cincinnati Eye Institute, Cincinnati, OH, USA, rsisk@cincinnatieye.com.Department of Ophthalmology, University of Cincinnati, Cincinnati, OH, USA, rsisk@cincinnatieye.com. Cincinnati Eye Institute, Cincinnati, OH, USA, rsisk@cincinnatieye.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31114150

Citation

Patel, Sunny B., et al. "Short-term Outcomes of Combined Pars Plana Vitrectomy for Epiretinal Membrane and Phacoemulsification Surgery With Multifocal Intraocular Lens Implantation." Clinical Ophthalmology (Auckland, N.Z.), vol. 13, 2019, pp. 723-730.
Patel SB, Snyder ME, Riemann CD, et al. Short-term outcomes of combined pars plana vitrectomy for epiretinal membrane and phacoemulsification surgery with multifocal intraocular lens implantation. Clin Ophthalmol. 2019;13:723-730.
Patel, S. B., Snyder, M. E., Riemann, C. D., Foster, R. E., & Sisk, R. A. (2019). Short-term outcomes of combined pars plana vitrectomy for epiretinal membrane and phacoemulsification surgery with multifocal intraocular lens implantation. Clinical Ophthalmology (Auckland, N.Z.), 13, pp. 723-730. doi:10.2147/OPTH.S195928.
Patel SB, et al. Short-term Outcomes of Combined Pars Plana Vitrectomy for Epiretinal Membrane and Phacoemulsification Surgery With Multifocal Intraocular Lens Implantation. Clin Ophthalmol. 2019;13:723-730. PubMed PMID: 31114150.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Short-term outcomes of combined pars plana vitrectomy for epiretinal membrane and phacoemulsification surgery with multifocal intraocular lens implantation. AU - Patel,Sunny B, AU - Snyder,Michael E, AU - Riemann,Christopher D, AU - Foster,Robert E, AU - Sisk,Robert A, Y1 - 2019/04/23/ PY - 2019/5/23/entrez PY - 2019/5/23/pubmed PY - 2019/5/23/medline KW - cataract KW - combined KW - epiretinal membrane KW - multifocal intraocular lens KW - phacoemulsification KW - phacovitrectomy SP - 723 EP - 730 JF - Clinical ophthalmology (Auckland, N.Z.) JO - Clin Ophthalmol VL - 13 N2 - Purpose: The purpose of this study was to evaluate the functional and anatomical outcomes of combined phacovitrectomy with multifocal intraocular lens (mfIOL) implantation. Methods: Retrospective, interventional, non-comparative case series of six eyes that received a combined phacoemulsification surgery with apodized, diffractive mfIOL implantation for cataract and pars plana vitrectomy (PPV) with membrane peeling for epiretinal membrane (ERM). Outcome measures included distance and near visual acuities (DVA and NVA), central macular thickness (CMT), intraocular pressure (IOP), and disruption of external limiting membrane (ELM) or inner-segment outer-segment (IS/OS) junction. Results: Mean logMAR glare DVA improved from 0.40 (Snellen 20/50) preoperatively to a mean uncorrected DVA of 0.038 (Snellen 20/22) (P=0.004) at 6 months after surgery. All eyes achieved NVA of J2 or better by 12 months postoperatively. Median CMT improved by 10 µm and mean IOP increased by 1 mmHg at 12 months postoperatively. Percentage of patients with ELM or IS/OS disruptions decreased from 66.7% to 33.3%. Two eyes demonstrated residual metamorphopsia on Amsler grid testing postoperatively. Postoperatively, four eyes required laser capsulotomy and one required LASEK for refractive correction. Conclusion: Combined phacovitrectomy, membrane peeling, and mfIOL implantation improved VA in patients with idiopathic ERM. Multifocality was achieved, but final visual outcome was delayed due to posterior capsular opacification and macular healing. SN - 1177-5467 UR - https://www.unboundmedicine.com/medline/citation/31114150/Short-term_outcomes_of_combined_pars_plana_vitrectomy_for_epiretinal_membrane_and_phacoemulsification_surgery_with_multifocal_intraocular_lens_implantation L2 - https://dx.doi.org/10.2147/OPTH.S195928 DB - PRIME DP - Unbound Medicine ER -