Vitrectomy Combined with Cataract Surgery for Retinal Detachment Using a Three-Dimensional Viewing System

Overview

Journal J Clin Med

Specialty General Medicine

Date 2022 Apr 12

PMID 35407397

Authors

Katarzyna Nowomiejska

Mario Damiano Toro

Vincenza Bonfiglio

Aleksandra Czarnek-Chudzik

Agnieszka Brzozowska

Kamil Torres

Robert Rejdak

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate the results of a pars plana vitrectomy (PPV) combined with cataract surgery for primary rhematogenous retinal detachment (RD) using a three-dimensional (3D) viewing system and a conventional microscope (CM).

Methods: Medical reports of 82 patients were retrospectively reviewed: 26 patients were operated on with 3D and 56 patients were operated on with CM. The main outcome measures were visual acuity, duration of the surgery, and the rate of postoperative complications.

Results: No statistically significant differences in pre- and postoperative visual acuity were found between both groups. There was significant improvement in the visual acuity in both groups. The best postoperative visual acuity was achieved with SF6 gas tamponade, followed by C3F8 gas and silicone oil in both groups. The duration of the surgery (60 min vs. 55 min) and the rate of postoperative complications (15% vs. 14%) were similar in both groups.

Conclusions: The similar postoperative visual acuity and rate of complications detected using 3D and CM indicate that the 3D viewing system may be advantageous in the treatment of rhematogenous RD with PPV combined with cataract surgery, i.e., a complex procedure involving both anterior and posterior segment manipulations.

Citing Articles

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Effects of image-sharpening algorithm on surgical field visibility during 3D heads-up surgery for vitreoretinal diseases.

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