Purpose: To determine whether vitrectomy instrumentation improved outcomes when vitreous loss occurred during either extracapsular cataract extraction (ECCE) or phacoemulsification (PE) with posterior chamber lens implantation (PCIOL). Methods: A consecutive series of ECCE+PCIOL (group 1: 1985-1989) and PE+PCIOL (group 2: 1993-1997) surgeries by a single surgeon was reviewed retrospectively. Results: In group 1, 14 of 647 patients (2.2%) and in group 2, 9 of 665 patients (1.4%) experienced vitreous loss. In group 1, final visual acuity averaged 20/83; in group 2, 20/25 (P=.005). Average follow-up was 5.7 years (group 1) and 3.2 years (group 2). Uveitis, glaucoma, corneal problems, and retinal problems were assessed. Conclusions: Anterior vitrectomy reduced complications from vitreous loss. Fewer vitreous losses occurred with PE than ECCE. Patients with vitreous loss after PE attained better vision.
|Original language||English (US)|
|Number of pages||15|
|Journal||Transactions of the American Ophthalmological Society|
|State||Published - Dec 1 1999|