Abstract
To assess the frequency and results of cataract surgery with concurrent vitrectomy due to zonule weakness in eyes with pseudoexfoliation (PXF). Private practice, Boston, Massachusetts, USA. This retrospective nonrandomized study assessed consecutive eyes with PXF having cataract surgery. High risk was defined as preoperative phacodonesis, iridodonesis, or lens subluxation (subgroup 1); preoperative anterior chamber depth or angle-depth asymmetry between eyes confirmed by slitlamp biomicroscopy or gonioscopy, respectively (subgroup 2); or complicated cataract extraction related to zonule weakness in the fellow eye (subgroup 3). Exclusion criteria were previous vitrectomy, scleral buckle, or trabeculectomy surgery and combined cataract-glaucoma surgery. A comparative analysis of outcome parameters was performed. Of the 1059 eyes evaluated, 38 had vitrectomy. Concurrent vitrectomy was required in 19 (15.6%) of 122 high-risk eyes and 19 (2.0%) of 937 non-high-risk eyes (P<.00001). The need for concurrent vitrectomy was greatest in subgroup 3 (72.7%) and subgroup 1 (42.9%). There was no statistically significant difference between the vitrectomy group and the no-vitrectomy group in the mean improvement in logMAR corrected distance v...Continue Reading
References
Nov 1, 1992·The British Journal of Ophthalmology·J N Kirkpatrick, R A Harrad
May 1, 1987·Ophthalmology·J P GuzekL A Sleeper
May 1, 1987·Archives of Ophthalmology·G L SkutaE J Rockwood
Dec 15, 1994·American Journal of Ophthalmology·U Schlötzer-Schrehardt, G O Naumann
Jul 15, 1993·American Journal of Ophthalmology·P Lumme, L Laatikainen
Sep 1, 1996·Journal of Cataract and Refractive Surgery·M AlfaiateJ G Cunha-Vaz
Jan 1, 1997·Journal of Cataract and Refractive Surgery·A A DossoP M Leuenberger
May 1, 1997·Journal of Cataract and Refractive Surgery·S AvramidesG Sakkias
Jun 27, 1998·Journal of Cataract and Refractive Surgery·L DrolsumK Sandvig
Jul 22, 1998·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·L ScorolliR A Meduri
Feb 4, 1999·The British Journal of Ophthalmology·H HayashiF Hayashi
Mar 8, 2000·American Journal of Ophthalmology·M KüchleG O Naumann
Nov 1, 2001·Journal of Cataract and Refractive Surgery·L Shastri, A Vasavada
Mar 29, 2003·Journal of Cataract and Refractive Surgery·Fiona M ChanKah-Guan Au Eong
Apr 8, 2004·Clinical & Experimental Ophthalmology·R Max ConwayGottfried O H Naumann
Jun 25, 2005·Journal of Cataract and Refractive Surgery·Michael HyamsOrna Geyer
Oct 20, 2006·The British Journal of Ophthalmology·Farhan H ZaidiPhilip A Bloom
Mar 23, 2007·Acta Ophthalmologica Scandinavica·Liv DrolsumBjørn Nicolaissen
Feb 28, 2008·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·Arsen AkinciOrhan Zilelioglu
Apr 7, 2009·Ophthalmology·Don DavisNick Mamalis
May 26, 2009·Journal of Cataract and Refractive Surgery·Bradford J ShingletonIqbal Ike K Ahmed
Sep 29, 2009·Journal of Cataract and Refractive Surgery·Gunnar JakobssonMats Lundström
Jul 1, 1994·Journal of Glaucoma·R Ritch
Citations
Sep 21, 2012·Oman Journal of Ophthalmology·Mohamed A E S Mahdy
Oct 29, 2015·Acta Ophthalmologica·Raşit KılıçAyhan Dursun
Apr 16, 2013·Journal of Cataract and Refractive Surgery·Ken HayashiHiroyuki Kondo
Sep 13, 2011·Journal of Cataract and Refractive Surgery·Bradford J ShingletonMark W O'Donoghue
Jul 27, 2015·American Journal of Ophthalmology·Angela TuralbaMary K Daly
Oct 18, 2014·Seminars in Ophthalmology·Neha Sangal, Teresa C Chen
Jun 24, 2015·Journal of Cataract and Refractive Surgery·Andrea GovettoBetty Lorente
Aug 20, 2014·Journal of Cataract and Refractive Surgery·Nikolaos Kopsachilis, Gianluca Carifi
May 28, 2016·Acta Ophthalmologica·Bradford J ShingletonMark W O'Donoghue
Sep 1, 2015·Eye & Contact Lens·Mustafa EliacikCemile Anil Aslan
Mar 12, 2018·Journal of Cataract and Refractive Surgery·Ken HayashiKoichi Yoshimura
Feb 17, 2015·European Journal of Ophthalmology·Yongxiang JiangYi Lu
Aug 10, 2017·Journal of Ophthalmology·Eva-Maria FaschingerBirgit Weingessel
Oct 24, 2020·European Journal of Ophthalmology·Nilay Kandemir BesekAlper Agca
Dec 7, 2020·Medical Hypotheses·Manas NathSivagami Nachiappan
Jun 16, 2021·International Ophthalmology·Vivek M SinghJagadesh C Reddy