Mustafa Iqbal, David G Charteris.
Combined Phacoemulsification and Pars Plana Vitrectomy.
Pak J Ophthalmol Jan ;14(4):161-4.

Twenty-three eyes of twenty-three patients who underwent combined phacoemulsification and pars plana vitrectomy were reviewed. All eyes had clinically significant cataract with coexisting vitreoretinal pathology: proliferative diabetic retinopathy (eleven eyes), retinal detachment with proliferative vitreoretinopathy (five eyes), vitreous haemorrhage secondary to retinal vein occlusion (three eyes), uveitis with significant vitreous opacities (two eyes), vitreous haemorrhage secondary to choroidal neovascular membrane (one eye) and epiretinal membrane lone eye). Sixteen eyes had improvement in visual acuity; in four eyes the vision remained the same and in three eyes the vision deteriorated to NPL. Intraoperative problems related to phacoemulsification were non-sealing wound, iris prolapse, corneal oedema, posterior capsule rupture and failure to implant 10L. Complications related to vitrectomy were removal of posterior capsule (five eyes) and an iatrogenic retinal break (one eye). Phacoemulsification allowed a good view of the retina and the corneal wound remained watertight during vitrectomy.

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