Combined phacoemulsification, intraocular lens implantation and scleral buckling for eyes with coexisting cataract and retinal detachment

Abstract

Objective To investigate the effect of combined phacoemulsification,intraocular lens implantation and scleral buckling surgery for eyes with coexisting cataract and retinal detachment.Methods A case series of 12 consecutive patients (12 eyes) underwent combined phacoemulsification,intraocular lens implantation and scleral buckling surgery.The main outcome measures were postoperative retinal reattachment,best corrected visual acuity (BCVA),and complications.Results Overall retinal reattachment occurred in 11 eyes (11/12,as 91.7％).Postoperative BCVA improved in 10 eyes (10/ 12,as 83.3％),unchanged in 1 eye (1/12,as 8.3％),and worsened in 1 eye (1/12,as 8.3％).The major postoperative complications were Corneal edema in 3 eyes (3/12,as 25％),moderate fibrin exudation 3 eyes (3/12,as 25％),transient increased intraocular pressure in 2 eyes (2/12,as 16.6％),posterior capsule opacification in 2 eyes (2/12,as 16.6％),and recurrent retinal detachment in 1 eye (1/12,as 8.3％).Conclusions Combined phacoemulsification,intraocular lens implantation and scleral buckling surgery for eyes with coexisting cataract and retinal detachment are safe and effective. Key words: Retinal detachment; Phacoemulsification; Intraocular lens implantation; Scleral buckling