Combined phacoemulsification and 23-G pars plana vitrectomy for coexisting cataract and rhegmatogenous retinal detachment

ObjectiveThe aim of the study was to evaluate the early results and complications of combined 23-G pars plana vitrectomy (PPV) and phacoemulsification in eyes with cataract and coexisting rhegmatogenous retinal detachment (RD).Patients and methodsThis prospective study consisted of 40 eyes of patients with RD and visually significant cataract. Sutureless 23-G PPV was combined with clear corneal phacoemulsification. The main outcome measures were postoperative complications, best-corrected visual acuity, and primary reattachment rate at 6 months' follow-up.ResultsPostoperatively, transient increase in intraocular pressure occurred in seven patients (17.5%), posterior capsular opacification occurred in four patients (10%), and fibrin exudation in the anterior chamber occurred in three patients (7.5%). Primary anatomical success in the retina was achieved in 37 eyes (92.5%). The visual acuity improved in 36 eyes (90%) and it was unchanged in four eyes (10%).ConclusionCombined operation of 23-G PPV and phacoemulsification is safe and effective for patients with coexisting cataract and rhegmatogenous RD. However, further studies are recommended.