Surgical and Functional Results of Hybrid 25-27-Gauge Vitrectomy Combined with Coaxial 2.2 mm Small Incision Cataract Surgery

Purpose. to investigate outcomes after coaxial 2.2 mm small incision cataract surgery combined with hybrid 25-27-gauge vitrectomy in eyes with vitreoretinal disease and age-related cataract. methods. a single-center,retrospective case series study of 55 subjects (55 eyes) with a mean age of 70 years who underwent combined small incision phacoemulsification,intraocular lens (iol) implantation,and hybrid 25-27-gauge vitrectomy during the 12-month period to december 2014. intraoperative and postoperative complications and visual results were the main outcome measures. results. the mean follow-up period was 6 months (range: 2-18 months). intraoperative findings were 3 retinal breaks (5.5%). no cases required corneal or scleral suture or conversion to larger-gauge vitrectomy. postoperative complications consisted of posterior capsule opacification (12.7%),elevated intraocular pressure >30 mmhg (1.8%),and fibrin reaction (5.5%). there were no cases of hypotony (<7 mmhg),iol decentration,or postoperative endophthalmitis. visual acuity (mean ± sd) improved from 0.52 ± 0.6 logmar preoperatively to 0.22 ± 0.46 logmar at final postoperative visit (p < 0.0001). conclusion. surgical and visual outcomes suggest hybrid 25-27-gauge vitrectomy combined with small incision phacoemulsification and iol implantation is feasible,safe,and effective as a one-step surgical procedure for the management of vitreoretinal pathologies and concurrent cataract. © 2016 fabian höhn et al.