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Session Title: Complex Cases and Surgery
Session Date/Time: Monday 07/10/2013 | 14:30-16:00
Paper Time: 15:36
Venue: Forum (Ground Floor)
First Author: : N.Gozum TURKEY
Co Author(s): : U. Limon N. Kir
To compare combined surgery with surgery at different sessions in eyes with co-existing cataract and vitreoretinal pathology
Department of Ophthalmology Istanbul Faculty of Medicine Istanbul University Istanbul Turkey
Eye charts of 59 patients (60 eyes) were reviewed retrospectively forming two groups: those with co-existing cataract and vitreoretinal pathology undergoing combined surgery and those undergoing separate surgeries between 2004-2011. Preoperative, 1st month postoperative and last visit best corrected Snellen visual acuities were recorded and transformed into logMAR values. Preoperative and postoperative spherical equivalents of refraction were recorded. Intraoperative and postoperative complications were recorded. Parametric Wilcoxon variance analysis was used to compare intra-group data and non-parametric Mann-Whitney U variance analysis was used to compare data between groups. p value below 0.05 was accepted as an indicator of statistical significance.
There were 30 eyes of 29 patients in Group 1 and 30 eyes of 30 patients in Group 2. Mean preoperative visual acuity in Group 1 was 1.34 logMAR; it was 1.38 logMAR in the 1st postoperative month and 0.92 logMAR at the last visit. Mean preoperative visual acuity in Group 2 was 1.48 logMAR; it was 0.81 logMAR in the 1st postoperative month and 0.69 logMAR at the last visit. There were no statistical differences between the groups regarding visual acuity (p:0.055). In Group 1 visual acuity improved in 18 (60%) eyes, decreased in 8 (26.7%) eyes and remained unchanged in 4 (13.3%). In Group 2, visual acuity improved in 24 (80%) eyes, decreased in 2 (6.7%) and remained unchanged in 4 (13.3%) eyes. In Group 1 the commonest early postoperative complications were increase in intraocular pressure (5 eyes, 17.2%) and fibrinoid anterior chamber reaction. The commonest late postoperative complication was opacification of posterior capsule.
Combined surgery provides early visual rehabilitation and avoids a second surgery.
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