Surgical and Functional Results of Hybrid 25-27-Gauge Vitrectomy Combined with Coaxial 2.2 mm Small Incision Cataract Surgery
Identifieur interne : 000063 ( Main/Merge ); précédent : 000062; suivant : 000064Surgical and Functional Results of Hybrid 25-27-Gauge Vitrectomy Combined with Coaxial 2.2 mm Small Incision Cataract Surgery
Auteurs : Fabian Höhn [Allemagne] ; Florian Kretz [Allemagne] ; Mitrofanis Pavlidis [Allemagne]Source :
- Journal of Ophthalmology [ 2090-004X ] ; 2016.
Abstract
Url:
DOI: 10.1155/2016/9186351
PubMed: 26966558
PubMed Central: 4757709
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<author><name sortKey="Kretz, Florian" sort="Kretz, Florian" uniqKey="Kretz F" first="Florian" last="Kretz">Florian Kretz</name>
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<author><name sortKey="Pavlidis, Mitrofanis" sort="Pavlidis, Mitrofanis" uniqKey="Pavlidis M" first="Mitrofanis" last="Pavlidis">Mitrofanis Pavlidis</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Surgical and Functional Results of Hybrid 25-27-Gauge Vitrectomy Combined with Coaxial 2.2 mm Small Incision Cataract Surgery</title>
<author><name sortKey="Hohn, Fabian" sort="Hohn, Fabian" uniqKey="Hohn F" first="Fabian" last="Höhn">Fabian Höhn</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Helios Klinikum Pforzheim, Kanzlerstraße 2-6, 75175 Pforzheim, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Helios Klinikum Pforzheim, Kanzlerstraße 2-6, 75175 Pforzheim</wicri:regionArea>
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<wicri:noRegion>75175 Pforzheim</wicri:noRegion>
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<author><name sortKey="Kretz, Florian" sort="Kretz, Florian" uniqKey="Kretz F" first="Florian" last="Kretz">Florian Kretz</name>
<affiliation wicri:level="1"><nlm:aff id="I2">Augenklinik Ahaus, Am Schloßgraben 13, 48683 Ahaus, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Augenklinik Ahaus, Am Schloßgraben 13, 48683 Ahaus</wicri:regionArea>
<wicri:noRegion>48683 Ahaus</wicri:noRegion>
<wicri:noRegion>48683 Ahaus</wicri:noRegion>
<wicri:noRegion>48683 Ahaus</wicri:noRegion>
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<author><name sortKey="Pavlidis, Mitrofanis" sort="Pavlidis, Mitrofanis" uniqKey="Pavlidis M" first="Mitrofanis" last="Pavlidis">Mitrofanis Pavlidis</name>
<affiliation wicri:level="3"><nlm:aff id="I3">Augencentrum Köln, Josefstraße 14, 51143 Cologne, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Augencentrum Köln, Josefstraße 14, 51143 Cologne</wicri:regionArea>
<placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region>
<region type="district" nuts="2">District de Cologne</region>
<settlement type="city">Cologne</settlement>
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<series><title level="j">Journal of Ophthalmology</title>
<idno type="ISSN">2090-004X</idno>
<idno type="eISSN">2090-0058</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><p><italic>Purpose</italic>
. To investigate outcomes after coaxial 2.2 mm small incision cataract surgery combined with hybrid 25-27-gauge vitrectomy in eyes with vitreoretinal disease and age-related cataract.<italic> Methods</italic>
. A single-center, retrospective case series study of 55 subjects (55 eyes) with a mean age of 70 years who underwent combined small incision phacoemulsification, intraocular lens (IOL) implantation, and hybrid 25-27-gauge vitrectomy during the 12-month period to December 2014. Intraoperative and postoperative complications and visual results were the main outcome measures.<italic> Results</italic>
. The mean follow-up period was 6 months (range: 2–18 months). Intraoperative findings were 3 retinal breaks (5.5%). No cases required corneal or scleral suture or conversion to larger-gauge vitrectomy. Postoperative complications consisted of posterior capsule opacification (12.7%), elevated intraocular pressure >30 mmHg (1.8%), and fibrin reaction (5.5%). There were no cases of hypotony (<7 mmHg), IOL decentration, or postoperative endophthalmitis. Visual acuity (mean ± SD) improved from 0.52 ± 0.6 logMAR preoperatively to 0.22 ± 0.46 logMAR at final postoperative visit (<italic>P</italic>
< 0.0001).<italic> Conclusion</italic>
. Surgical and visual outcomes suggest hybrid 25-27-gauge vitrectomy combined with small incision phacoemulsification and IOL implantation is feasible, safe, and effective as a one-step surgical procedure for the management of vitreoretinal pathologies and concurrent cataract. </p>
</div>
</front>
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