Related Experiment Video
Updated: Jul 15, 2026
11:20
Retinal Pigment Epithelium Transplantation in a Non-human Primate Model for Degenerative Retinal Diseases
Published on: June 14, 2021
Phacovitrectomy for primary retinal detachment repair in presbyopes
Michael Smith1, S Vasant Raman, George Pappas
1West of England Eye Unit, Royal Devon and Exeter Hospital, Exeter, United Kingdom.
Retina (Philadelphia, Pa.)
|April 11, 2007
Summary
Phacovitrectomy effectively repairs primary retinal detachment in presbyopic patients, achieving high reattachment rates and improved vision. Common complications like transient intraocular pressure rise and uveitis resolve with treatment.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Primary rhegmatogenous retinal detachment (RRD) management often involves complex surgical procedures.
- Presbyopia, the age-related loss of accommodation, is common in the patient population undergoing RRD repair.
Purpose of the Study:
- To evaluate the efficacy and safety of combined phacoemulsification and vitrectomy (phacovitrectomy) for primary retinal detachment repair in presbyopic individuals.
Main Methods:
- A retrospective case series analyzed 93 presbyopic patients undergoing phacovitrectomy for primary RRD.
- Surgical outcomes, including reattachment rates and visual acuity, and postoperative complications were assessed.
Main Results:
- A high primary reattachment rate of 88.2% was achieved, with a final reattachment rate of 97.8%.
- Median logMAR visual acuity significantly improved from 1.00 to 0.30 postoperatively (P < 0.001).
- Transient complications included elevated intraocular pressure (29%) and fibrinous uveitis (16.2%), which resolved with medical management. Posterior capsular opacification occurred in 24.7%.
Conclusions:
- Combined phacovitrectomy is a beneficial surgical approach for primary RRD in presbyopes, offering advantages for both patients and surgeons.
- The procedure should be considered even without significant lens opacity.
- While transient postoperative complications can occur, they are manageable; further studies on proliferative vitreoretinopathy rates are warranted.
Related Concept Videos
01:28Angle Closure Glaucoma: Treatment
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
01:27Open Angle Glaucoma: Treatment
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...