Iris neovascularization after vitrectomy combined with phacoemulsificationand intraocular lens implantation for proliferative diabetic retinopathy

Citation
K. Kadonosono et al., Iris neovascularization after vitrectomy combined with phacoemulsificationand intraocular lens implantation for proliferative diabetic retinopathy, OPHTHAL SUR, 32(1), 2001, pp. 19-24
Citations number
18
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Optalmology
Journal title
OPHTHALMIC SURGERY AND LASERS
ISSN journal
0022-023X → ACNP
Volume
32
Issue
1
Year of publication
2001
Pages
19 - 24
Database
ISI
SICI code
0022-023X(200101/02)32:1<19:INAVCW>2.0.ZU;2-D
Abstract
PURPOSE: To analyze the incidence of iris neovascularization after vitrecto my combined with phacoemulsification and intraocular lens (IOL) implantatio n using a small incision in the treatment of proliferative diabetic retinop athy (PDR). PATIENTS AND METHODS: We studied a consecutive series of 46 eyes in which v itrectomy combined with phacoemulsification and IOL implantation had been p erformed, and compared the surgical results with a prior series of 40 eyes in which vitrectomy alone had been performed. RESULTS: Postoperative iris and angle neovascularization was found in 6 eye s (15%) treated by vitrectomy alone, but in only 1 eye (2%) treated by comb ined vitrectomy (P<0.05). Final visual acuity improved by two or more lines in 23 eyes (57%) in the vitrectomy alone group, and in 35 eyes (76%) in th e combined vitrectomy group. CONCLUSIONS: The incidence of postoperative rubeosis iridis was significant ly lower, and the visual results were satisfactory with vitrectomy combined with phacoemulsification and IOL implantation for PDR These findings sugge st thr combined vitrectomy for PDR is a useful surgical procedure.