The Outcomes of Quadruple Procedure Including Phacoemulsification, Intraocular Lens Implantation, Pars Plana Vitrectomy and Scleral Buckling in Cases with Both Dense Cataracts and Inferior Quadrant Retinal Detachment

Abstract

Purpose To reveal the outcomes of combined phacovitrectomy and supplementary scleral buckling (SB) surgery in patients with inferior break retinal detachment (RD) and proliferative vitreoretinopathy (PVR) ≥ Stage-C. Methods In this retrospective study, 22 eyes of 22 patients who underwent surgery in Bozyaka Training and Research Hospital between 2018 and 2020 were included. The demographic data, follow-up duration, preoperative & postoperative best-corrected visual acuity (BCVA) (Snellen), intraocular pressure (IOP), final anatomic status, and the recurrence rate of RD were recorded from the files of patients. Results The mean age of the patients was 56.9 ± 15.2 years, and follow-up duration was 16.6 ± 10.2 months. The internal tamponade was silicone oil (SO) in 16 patients (72.7%), and perfluoropropane (C₃F₈) in 6 patients (27.2%). The BCVA was improved from 0.0065 ± 0.014 to 0.26 ± 0.17 after surgery (p:0,0001), and IOP changed from 12.3 ± 2.5 mmHg to 15.3 ± 2.4 mmHg. During follow-up period, the recurrent RD was only found in one patient (4.50%) and following to second surgery, anatomical success was achieved in all of the patients (100%) in final visit. Conclusion The combined phacovitrectomy and SB is an effective and reliable surgical method in patients with inferior quadrant RD and advanced stage PVR.