The clinical analysis of postoperative complications with vitrectomy combined phacoemulsification and intraocular lens implantation for vitreoretinopathy

Objective To observe the safety and efficacy ofvitrectomy combined phacoemulsification and intraocular lens implantation to treat vitrereotinopathy.Method Retrospectively analyzed the clinical data of 81 cases(82 eyes)with vitrereotinopathy who underwent combined surgery from January 2000 to December 2007.The follow-up period was 8 to 58 months with the average of 26 months.The postoperation complications were analyzed.Results Postoperative visual improvement was achieved in 55 eyes(67.07%) ,visual acuity re-mained unchanged in 25 eyes(30.49%)and decreased in 2 eyes(2.44%).Postoperatiye complications consisted of a mild corneal edema in 10 eyes(12.20%), transient intraocular pressure increase in 26 eyes(31.70%); ante-riot chamber fibrin exudation in 12 eyes(14.63%), vitreous hemarrhage in 5 eyes(6.10%), retinal detachment in 3 eyes(3.66%), neovascular glaucoma in 6 eyes(7.32%); posterior capsule opacification(PCO)in 12 eyes (14.63%).Conclusion Vitrectomy combined with phacoemulsification and IOL implantation in vitreo-retinopathy patients is a safe and effective approach, and provide rapid visual rehabilitation without significant complications in the majority of selected eyes after surgery,but more frequently in proliferative diabetic retinopathy(PDR). Key words: Vitreoretinopathy;  Vitrectomy;  Complications;  Phacoemulsification;  Intraocular lenses