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Cataract formation following vitreoretinal procedures
PURPOSE: To evaluate the incidence and prevalence of cataract formation, progression, and extraction in patients that underwent vitreoretinal procedures and to evaluate factors that can potentially predispose patients to postoperative cataracts. MATERIALS AND METHODS: The medical records of consecut...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4181740/ https://www.ncbi.nlm.nih.gov/pubmed/25284982 http://dx.doi.org/10.2147/OPTH.S68661 |
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author | Feng, Hao Adelman, Ron A |
author_facet | Feng, Hao Adelman, Ron A |
author_sort | Feng, Hao |
collection | PubMed |
description | PURPOSE: To evaluate the incidence and prevalence of cataract formation, progression, and extraction in patients that underwent vitreoretinal procedures and to evaluate factors that can potentially predispose patients to postoperative cataracts. MATERIALS AND METHODS: The medical records of consecutive patients who underwent vitreoretinal surgery at the Yale Eye Center with at least 6 months of follow-up and no prior intraocular surgery were obtained. Preoperative, intraoperative, and postoperative data were recorded and analyzed in this retrospective observational study. The main outcome measures were defined as cataract extraction, formation, and progression after vitreoretinal procedures. The lens status of the surgical eye was recorded preoperatively and at 1 month, 3 months, 6 months, 12 months, 24 months, and 36 months postoperatively. RESULTS: A total of 193 eyes of 180 patients fulfilled the inclusion criteria. The percentages of eyes with mild lens change were 96% after 20-gauge pars plana vitrectomy (PPV), 72% after small gauge (23- and 25-gauge) PPV, 38% after scleral buckle (SB), 38% after pneumatic retinopexy (PR), and 91% after PPV plus SB (PPV+SB). Posterior subcapsular and nuclear sclerotic cataracts were the most common with almost all developing within 24 months. There was no statistically significant difference (P=1.00) between the rate of cataract extraction after 20-gauge (41%) and small gauge PPV (42%), but there was a statistically significant difference between PPV and non-PPV (SB, 6%; PR, 7%; P<0.001) and PPV and PPV+SB groups (69%; P=0.0063). CONCLUSION: Cataracts were common following PPV regardless of the gauge. SB and PR led to the lowest while PPV+SB led to the highest risk of postoperative cataracts. |
format | Online Article Text |
id | pubmed-4181740 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-41817402014-10-03 Cataract formation following vitreoretinal procedures Feng, Hao Adelman, Ron A Clin Ophthalmol Original Research PURPOSE: To evaluate the incidence and prevalence of cataract formation, progression, and extraction in patients that underwent vitreoretinal procedures and to evaluate factors that can potentially predispose patients to postoperative cataracts. MATERIALS AND METHODS: The medical records of consecutive patients who underwent vitreoretinal surgery at the Yale Eye Center with at least 6 months of follow-up and no prior intraocular surgery were obtained. Preoperative, intraoperative, and postoperative data were recorded and analyzed in this retrospective observational study. The main outcome measures were defined as cataract extraction, formation, and progression after vitreoretinal procedures. The lens status of the surgical eye was recorded preoperatively and at 1 month, 3 months, 6 months, 12 months, 24 months, and 36 months postoperatively. RESULTS: A total of 193 eyes of 180 patients fulfilled the inclusion criteria. The percentages of eyes with mild lens change were 96% after 20-gauge pars plana vitrectomy (PPV), 72% after small gauge (23- and 25-gauge) PPV, 38% after scleral buckle (SB), 38% after pneumatic retinopexy (PR), and 91% after PPV plus SB (PPV+SB). Posterior subcapsular and nuclear sclerotic cataracts were the most common with almost all developing within 24 months. There was no statistically significant difference (P=1.00) between the rate of cataract extraction after 20-gauge (41%) and small gauge PPV (42%), but there was a statistically significant difference between PPV and non-PPV (SB, 6%; PR, 7%; P<0.001) and PPV and PPV+SB groups (69%; P=0.0063). CONCLUSION: Cataracts were common following PPV regardless of the gauge. SB and PR led to the lowest while PPV+SB led to the highest risk of postoperative cataracts. Dove Medical Press 2014-09-23 /pmc/articles/PMC4181740/ /pubmed/25284982 http://dx.doi.org/10.2147/OPTH.S68661 Text en © 2014 Feng and Adelman. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Feng, Hao Adelman, Ron A Cataract formation following vitreoretinal procedures |
title | Cataract formation following vitreoretinal procedures |
title_full | Cataract formation following vitreoretinal procedures |
title_fullStr | Cataract formation following vitreoretinal procedures |
title_full_unstemmed | Cataract formation following vitreoretinal procedures |
title_short | Cataract formation following vitreoretinal procedures |
title_sort | cataract formation following vitreoretinal procedures |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4181740/ https://www.ncbi.nlm.nih.gov/pubmed/25284982 http://dx.doi.org/10.2147/OPTH.S68661 |
work_keys_str_mv | AT fenghao cataractformationfollowingvitreoretinalprocedures AT adelmanrona cataractformationfollowingvitreoretinalprocedures |