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Comparison of simultaneous vs sequential pars plana vitrectomy and cataract surgery
BACKGROUND: To compare the clinical outcomes of patients undergoing sequential pars plana vitrectomy (PPV) followed by cataract extraction surgery (CE) [PPV/CE], simultaneous PPV and CE (PPV + CE), and sequential CE followed by PPV [CE/PPV]. METHODS: A retrospective observational cohort study of 427...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948424/ https://www.ncbi.nlm.nih.gov/pubmed/36823593 http://dx.doi.org/10.1186/s12886-023-02801-y |
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author | Awidi, Abdelhalim A. Mathews, Priya M. Shekhawat, Nakul Woreta, Fasika A. Srikumaran, Divya Daoud, Yassine J. |
author_facet | Awidi, Abdelhalim A. Mathews, Priya M. Shekhawat, Nakul Woreta, Fasika A. Srikumaran, Divya Daoud, Yassine J. |
author_sort | Awidi, Abdelhalim A. |
collection | PubMed |
description | BACKGROUND: To compare the clinical outcomes of patients undergoing sequential pars plana vitrectomy (PPV) followed by cataract extraction surgery (CE) [PPV/CE], simultaneous PPV and CE (PPV + CE), and sequential CE followed by PPV [CE/PPV]. METHODS: A retrospective observational cohort study of 427 eyes of 404 patients who underwent either sequential or simultaneous PPV and CE surgery between March 2016 and May 2021. Pre-operative and post-operative assessments (up to 2 years of follow-up visits) of uncorrected visual acuity (UCVA), corrected distance visual acuity (CDVA), spherical equivalent (SEQ), and refractive prediction error (RPE) was done. Main outcome measures were both visual (UCVA, CDVA) and refractive (RPE, SEQ). RESULTS: There was a statistically significant difference in CDVA of the PPV/CE, PPV + CE, CE/PPV groups (logMAR 0.34 ± 0.40, 0.65 ± 0.61, and 0.55 ± 0.60, respectively) at one month postoperatively (POM1) (P < 0.001), and at the POM12 visits (logMAR 0.25 ± 0.34, 0.53 ± 0.68, and 0.44 ± 0.48; P = 0.04). In the subgroup analysis of patients with a diagnosis of either epiretinal membrane or vitreous opacities, there was no statistically significant difference in SEQ (P = 0.09) and RPE (P = 0.13) at the combined 1 month and 3 month visits. CONCLUSION: Simultaneous PPV and cataract surgery demonstrated similar improvements in visual acuity and refractive outcomes, as well as comparable intraoperative and postoperative complication profiles to sequential surgery. |
format | Online Article Text |
id | pubmed-9948424 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-99484242023-02-24 Comparison of simultaneous vs sequential pars plana vitrectomy and cataract surgery Awidi, Abdelhalim A. Mathews, Priya M. Shekhawat, Nakul Woreta, Fasika A. Srikumaran, Divya Daoud, Yassine J. BMC Ophthalmol Research BACKGROUND: To compare the clinical outcomes of patients undergoing sequential pars plana vitrectomy (PPV) followed by cataract extraction surgery (CE) [PPV/CE], simultaneous PPV and CE (PPV + CE), and sequential CE followed by PPV [CE/PPV]. METHODS: A retrospective observational cohort study of 427 eyes of 404 patients who underwent either sequential or simultaneous PPV and CE surgery between March 2016 and May 2021. Pre-operative and post-operative assessments (up to 2 years of follow-up visits) of uncorrected visual acuity (UCVA), corrected distance visual acuity (CDVA), spherical equivalent (SEQ), and refractive prediction error (RPE) was done. Main outcome measures were both visual (UCVA, CDVA) and refractive (RPE, SEQ). RESULTS: There was a statistically significant difference in CDVA of the PPV/CE, PPV + CE, CE/PPV groups (logMAR 0.34 ± 0.40, 0.65 ± 0.61, and 0.55 ± 0.60, respectively) at one month postoperatively (POM1) (P < 0.001), and at the POM12 visits (logMAR 0.25 ± 0.34, 0.53 ± 0.68, and 0.44 ± 0.48; P = 0.04). In the subgroup analysis of patients with a diagnosis of either epiretinal membrane or vitreous opacities, there was no statistically significant difference in SEQ (P = 0.09) and RPE (P = 0.13) at the combined 1 month and 3 month visits. CONCLUSION: Simultaneous PPV and cataract surgery demonstrated similar improvements in visual acuity and refractive outcomes, as well as comparable intraoperative and postoperative complication profiles to sequential surgery. BioMed Central 2023-02-23 /pmc/articles/PMC9948424/ /pubmed/36823593 http://dx.doi.org/10.1186/s12886-023-02801-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Awidi, Abdelhalim A. Mathews, Priya M. Shekhawat, Nakul Woreta, Fasika A. Srikumaran, Divya Daoud, Yassine J. Comparison of simultaneous vs sequential pars plana vitrectomy and cataract surgery |
title | Comparison of simultaneous vs sequential pars plana vitrectomy and cataract surgery |
title_full | Comparison of simultaneous vs sequential pars plana vitrectomy and cataract surgery |
title_fullStr | Comparison of simultaneous vs sequential pars plana vitrectomy and cataract surgery |
title_full_unstemmed | Comparison of simultaneous vs sequential pars plana vitrectomy and cataract surgery |
title_short | Comparison of simultaneous vs sequential pars plana vitrectomy and cataract surgery |
title_sort | comparison of simultaneous vs sequential pars plana vitrectomy and cataract surgery |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948424/ https://www.ncbi.nlm.nih.gov/pubmed/36823593 http://dx.doi.org/10.1186/s12886-023-02801-y |
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