Visual outcomes after anterior vitrectomy: Comparison of ECCE and phacoemulsification

J. C. Bobrow; D. D. Koch; D. J. Doughman; G. A. Stern; D. C. Minckler

Visual outcomes after anterior vitrectomy: Comparison of ECCE and phacoemulsification

J. C. Bobrow, D. D. Koch, D. J. Doughman, G. A. Stern, D. C. Minckler

Ophthalmology & Visual Neurosciences

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Abstract

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)
Pages (from-to)	281-295
Number of pages	15
Journal	Transactions of the American Ophthalmological Society
Volume	97
State	Published - Dec 1 1999

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title = "Visual outcomes after anterior vitrectomy: Comparison of ECCE and phacoemulsification",

abstract = "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.",

author = "Bobrow, {J. C.} and Koch, {D. D.} and Doughman, {D. J.} and Stern, {G. A.} and Minckler, {D. C.}",

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language = "English (US)",

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T1 - Visual outcomes after anterior vitrectomy

T2 - Comparison of ECCE and phacoemulsification

AU - Bobrow, J. C.

AU - Koch, D. D.

AU - Doughman, D. J.

AU - Stern, G. A.

AU - Minckler, D. C.

PY - 1999/12/1

Y1 - 1999/12/1

N2 - 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.

AB - 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.

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Visual outcomes after anterior vitrectomy: Comparison of ECCE and phacoemulsification

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