Microincision cataract surgery combined with vitrectomy: a case series.

Area of Science:

• Ophthalmology
• Surgical Techniques
• Retina and Vitreous Surgery

Background:

• Combined phacovitrectomy addresses vitreoretinal disorders requiring cataract surgery.
• Microincision cataract surgery (MICS) offers potential benefits for anterior segment procedures.

Purpose of the Study:

• To evaluate the outcomes of combined phacovitrectomy using 1.8 mm MICS.
• To specifically assess anterior segment complications associated with this combined approach.

Main Methods:

• Retrospective case series of consecutive patients undergoing phacovitrectomy.
• Single-centre study conducted in the United Kingdom over a 6-month period.
• Involved 52 eyes undergoing combined 1.8 mm MICS and pars plana vitrectomy.

Main Results:

• Common intraoperative complications included posterior capsule rupture (2 eyes) and iatrogenic retinal tears (2 eyes).
• Postoperative complications included significant inflammation (2 eyes), posterior synaechiae (2 eyes), and posterior capsular opacification (3 eyes).
• No intraocular lens decentration occurred; retinal re-detachment and macular hole non-closure were noted in specific cases.

Conclusions:

• Sub-2 mm MICS is a safe and effective technique for combined phacovitrectomy.
• The procedure is suitable for managing vitreoretinal disorders requiring concurrent cataract surgery.
• Careful management of anterior segment complications is important for optimal outcomes.