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Retina Arter Tıkanıklıkları ve Tedavisi...
Santral Retinal Ven Tıkanıklığı Güncel Tedavisi...
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Central Retinal Artery Occlusion As the Cause of Unilateral Concentric Narrowing of Visual Field and Presence of Cilioretinal Artery...
Retina Arter Tıkanıklıkları ve Tedavisi...
Morning Glory Syndrome Associated with Retinochoroidal Coloboma...
Santral Retinal Ven Tıkanıklığı Güncel Tedavisi...
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PureSee Kesintisiz Yüksek Kalitede Görüş
Retina-Vitreous 2021 , Vol 30 , Num 2
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Evaluating the Refraction Results of Patients who had Combined Phacoemulsifi cation-pars Plana Vitrectomy and Internal Limiting Membrane Peeling for Idiopathic Macular hole or Idiopathic Epiretinal Membrane
Hakan Baybora
Ophthalmologist, MD, Basaksehir City Hospital, Ophthalmology Department, İstanbul, Turkey DOI : 10.37845/ret.vit.2021.30.28 Purpose: Although cataracts can be seen after pars plana vitrectomy, also be seen with vitreomacular interface pathologies such as a macular hole and epiretinal membrane. Since this may cause diffi culties in imaging the surgical fi eld, cataract surgery combined with surgery for primary pathology may be required. With the development of small incision microsurgical techniques and more precise biometric measurements, results close to emmetropic can be obtained today. Since internal limiting membrane peeling is performed together in hole and ERM surgery, we planned this study to investigate whether there is a signifi cant difference between the fi nal refraction and the refraction of non -complicated phacoemusifi cation performed control group. Also, we wanted to find any difference between expected and fi nal refraction in our study group.

Materials and methods: Retrospective combined phacoemulsifi cation - Pars plana vitrectomy-internal limiting membrane peeling 33 macular holes and 10 epiretinal membrane patients and 43 control patients with the only phacoemulsifi cation were included in the study. Intraocular lens power to be implanted was measured by low coherence interferometry. Comparison of expected postoperative refraction with result refraction Wilcoxon test and comparison with the control group was performed with the Mann-Whitney U test.

Results: There was no signifi cant difference between the combined surgery group and the control group refraction results (p = 0.41, p> 0.05) and also between expected refraction and fi nal refraction in the surgery group (p = 0.16, p> 0.05).

Conclusion: In such vitreoretinal interface problems requiring combined surgery, the expected refraction after surgery is similar to routine phacoemulsifi cation surgery. Keywords : Macular holes, Epiretinal membrane, Vitrectomy, cataract

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