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Outcomes of 23-gauge pars plana vitrectomy combined with phacoemulsification and capsulotomy without intraocular lens implantation in rhegmatogenous retinal detachment associated with choroidal detachment.

Abstract Rhegmatogenous retinal detachment associated with choroidal detachment (RRDCD) is a special type of complex retinal detachment, and usually has a poor prognosis. This study aimed to assess the anatomical outcomes of 23-gauge pars plana vitrectomy (23G PPV) combined with phacoemulsification (phaco) and capsulotomy without intraocular lens (IOL) implantation in patients with RRDCD.Seventy-six consecutive patients with RRDCD, who underwent retinal repair surgery from January 2010 to December 2014, were retrospectively analyzed. Forty patients underwent 23G PPV + phaco + IOL implantation, and 36 underwent 23G PPV + phaco + capsulotomy without IOL implantation (i.e., aphakia). All cases were filled with silicone oil. The follow-up time was 6 months after silicone oil was removed. Multivariate logistic regression analysis was the statistical method used.The overall retinal anatomical reattachment rate was 58% (44/76): 40% (16/40) of patients receiving 23G PPV + phaco + IOL implantation; and 78% (28/36) of patients receiving 23G PPV + phaco + capsulotomy + aphakia (P = .007).Surgical repair using 23G PPV + phaco + capsulotomy without IOL implantation can improve anatomical reattachment rates in patients with RRDCD.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28834901
OWN - NLM
STAT- In-Process
DA  - 20170823
LR  - 20170907
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 34
DP  - 2017 Aug
TI  - Outcomes of 23-gauge pars plana vitrectomy combined with phacoemulsification and 
      capsulotomy without intraocular lens implantation in rhegmatogenous retinal
      detachment associated with choroidal detachment.
PG  - e7869
LID - 10.1097/MD.0000000000007869 [doi]
AB  - Rhegmatogenous retinal detachment associated with choroidal detachment (RRDCD) is
      a special type of complex retinal detachment, and usually has a poor prognosis.
      This study aimed to assess the anatomical outcomes of 23-gauge pars plana
      vitrectomy (23G PPV) combined with phacoemulsification (phaco) and capsulotomy
      without intraocular lens (IOL) implantation in patients with RRDCD.Seventy-six
      consecutive patients with RRDCD, who underwent retinal repair surgery from
      January 2010 to December 2014, were retrospectively analyzed. Forty patients
      underwent 23G PPV + phaco + IOL implantation, and 36 underwent 23G PPV + phaco + 
      capsulotomy without IOL implantation (i.e., aphakia). All cases were filled with 
      silicone oil. The follow-up time was 6 months after silicone oil was removed.
      Multivariate logistic regression analysis was the statistical method used.The
      overall retinal anatomical reattachment rate was 58% (44/76): 40% (16/40) of
      patients receiving 23G PPV + phaco + IOL implantation; and 78% (28/36) of
      patients receiving 23G PPV + phaco + capsulotomy + aphakia (P = .007).Surgical
      repair using 23G PPV + phaco + capsulotomy without IOL implantation can improve
      anatomical reattachment rates in patients with RRDCD.
FAU - Xu, Huiyan
AU  - Xu H
AD  - aDepartment of Ophthalmology, Nanjing Medical University Affiliated Wuxi Second
      Hospital, Wuxi, Jiangsu Province, China bUniversity of California, San Francisco,
      CA.
FAU - Lutrin, David
AU  - Lutrin D
FAU - Wu, Zhifeng
AU  - Wu Z
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
PMC - PMC5572023
EDAT- 2017/08/24 06:00
MHDA- 2017/08/24 06:00
CRDT- 2017/08/24 06:00
AID - 10.1097/MD.0000000000007869 [doi]
AID - 00005792-201708250-00038 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Aug;96(34):e7869. doi: 10.1097/MD.0000000000007869.