Combining Bilateral Phacoemulsification With Unilateral Vitrectomy: Maximizing Efficiency Under The Pressure Of A Pandemic
Published 2022 - 40th Congress of the ESCRS
Reference: PP07.09 | Type: Free paper | DOI: 10.82333/xrah-qv90
Authors: Ananda Kalevar 1 , Samuel Farag 1 , Andrew Farag* 1
1University of Sherbrooke,Sherbrooke,Canada
Purpose
To evaluate the effectiveness of a new surgical technique, immediately sequential bilateral cataract surgery with unilateral pars plana vitrectomy (ISBCSUV), compared those of the traditional delayed approach.
Setting
Academic tertiary center
Methods
Retrospective case series. All patients having underwent ISBCSUV between February 2020 and March 2021 were identified. After determining study eligibility, patient files were examined.
Results
The most common indication for vitrectomy was epiretinal membrane in 14 patients (74%). Average surgery was 57 minutes. Mean preoperative BCVA in the phaco-only eye and the phaco-vitrectomy eye was 0.17 logarithm of the minimum angle of resolution (logMAR) and 0.48 logMAR, respectively. Mean UCVA at 6 weeks postoperatively in the phaco-only eye and the phaco-vitrectomy eye was 0.1 and 0.34, respectively. Mean UCVA at last postoperative visit in the phaco-only eye and the phaco-vitrectomy eye was 0.09 logMAR and 0.26 logMAR, respectively. Eight eyes of six patients developed complications throughout the follow-up period. One patient developed a serious complication which was a retinal detachment. Noincidents of infectious complications.
Conclusions
ISBCSUV was found to be a relatively safe procedure. More robust studies may allow integration of ISBCSUV as a more efficient alternative to the traditional two-stage approach.