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PHACOVITRECTOMY FOR PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT REPAIR: A Retrospective Review.
Matthew D Benson1, David Sia, Mark E Seamone
1Department of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, Alberta, Canada .
Retina (Philadelphia, Pa.)
|August 16, 2020
Summary
Phacovitrectomy effectively treats rhegmatogenous retinal detachment, achieving an 85.1% success rate in single surgeries. This combined approach safely incorporates phacoemulsification and intraocular lens implantation with retinal repair.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Cataract Surgery
Background:
- Rhegmatogenous retinal detachment (RRD) requires timely surgical intervention.
- Phacovitrectomy combines cataract extraction with retinal detachment repair.
- Evaluating combined procedures is crucial for optimizing patient outcomes.
Purpose of the Study:
- To determine the single surgery success rate of phacovitrectomy for primary RRD.
- To analyze anterior segment complications associated with this combined procedure.
- To assess factors influencing surgical success, including proliferative vitreoretinopathy and internal limiting membrane peeling.
Main Methods:
- Retrospective interventional case series of 302 eyes undergoing phacovitrectomy for primary RRD.
- Data collected from November 2016 to February 2019 in Edmonton, Canada.
- Primary outcomes: single surgery retinal reattachment rate and anterior segment complications. Secondary outcomes: impact of PVR and ILM peeling.
Main Results:
- Single surgery success rate was 85.1% for phacovitrectomy in primary RRD.
- Proliferative vitreoretinopathy (PVR) negatively impacted success (OR 0.33, P=0.01).
- Macular internal limiting membrane (ILM) peeling positively influenced success (OR 2.4, P=0.05).
- Anterior segment complications included posterior capsular opacification (28.8%), posterior synechiae (10.9%), and posterior capsular rupture (2.3%).
Conclusions:
- Phacovitrectomy is a safe and effective treatment for primary rhegmatogenous retinal detachment.
- The study supports the integration of phacoemulsification and intraocular lens implantation into retinal surgery.
- This combined approach offers a viable option for simultaneous cataract and retinal repair.
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