Comparison of simultaneous vs sequential pars plana vitrectomy and cataract surgery

• Published in: BMC ophthalmology 2023-02, Vol.23 (1), p.74-74, Article 74
• Main Authors: Awidi, Abdelhalim A, Mathews, Priya M, Shekhawat, Nakul, Woreta, Fasika A, Srikumaran, Divya, Daoud, Yassine J
• Format: Article
• Language: English
• Subjects: Acuity; Cataract; Cataract - complications; Cataract Extraction; Cataract surgery; Cataracts; Comparative analysis; Complications; Diabetic retinopathy; Edema; Electronic health records; Eye surgery; Humans; Laboratories; Medical research; Medicine, Experimental; Ophthalmology; Outcomes; Pars plana vitrectomy; Patients; Pay-per-view television; Postoperative; Postoperative Complications - etiology; Retinal detachment; Retrospective Studies; Sequential; Simultaneous; Statistical analysis; Surgery; Surgical outcomes; Variance analysis; Vision Disorders - etiology; Visual acuity; Vitrectomy - adverse effects; Vitreous Body - surgery
• ISSN: 1471-2415; 1471-2415
• DOI: 10.1186/s12886-023-02801-y

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]. 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). 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