Visual Outcome and Complications in Combined Phaco-Vitrectomy Versus Separate Phaco followed by Vitrectomy for Macula Off Rhegmatogenous Retinal Detachment

Abstract

Background: Cataract formation is common with pars plana vitrectomy (PPV). Removal of cataract by phacoemulsification can be done combinedly with PPV in the same settings or as separate procedure of phacoemulsification followed by PPV. Objectives: The objective of the study is to check the visual outcome, inflammation and complications in combined phaco-PPV procedure versus separate Phaco followed by PPV.Material and Methods: It was a quasi-experimental study carried out in Ophthalmology Department, Khyber Teaching hospital Peshawar from 1st May 2023 to 31st October 2023. A total of 60 patients were included and divided into 2 groups of 30 patients each. One group undergone combined phaco-PPV and the second group separate phaco followed by PPV. Results: The mean age of participants were 57.8 ± 8.24 years with 58.3% male and 41.7% female. On first post-operative day there was statistically significant difference between the visual acuity, inflammation and complications rate in combined phaco-PPV patients than separate procedure with a p-value of 0.01. There was no statistically significant difference in between the two groups in the final visual acuity, inflammation and complication rate 2 weeks after removal of silicone oil with visual acuity p-value 0.99, inflammation p-value 0.99, complications p-value 0.108Conclusion: There is no significance difference between combined phaco-PPV versus separate phaco followed by PPV in terms of visual acuity, inflammation and complication rate.Keywords: Phacoemulsification, Visual outcome, Vitrectomy