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Complication Of Manual Small Incision Cataract Surgery And Phacoemulsification In Previously Vitrectomized Eyes With Silicone Oil Tamponade

Complication Of Manual Small Incision Cataract Surgery And Phacoemulsification In Previously Vitrectomized Eyes With Silicone Oil Tamponade
Arief S Kartasasmita, Ohisa Harley, Mareta Gustianingsih, Erwin Iskandar
Universitas Padjadjaran, International Eye Science, Vol. 18, No. 2, Feb. 2018, ISSN 1672-5123, DOI:10. 3980 / j. issn. 1672 -5123. 2018. 2. 01
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Universitas Padjadjaran, International Eye Science, Vol. 18, No. 2, Feb. 2018, ISSN 1672-5123, DOI:10. 3980 / j. issn. 1672 -5123. 2018. 2. 01
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AIM: To compare the safety between phacoemulsification and manual small incision cataract surgery ( MSICS) combined with silicone oil removal in previously vitrectomized eyes. METHODS: A retrospective comparative no – inferiority study to 162 patients ( 162 eyes) who undergone cataract surgery, either phacoemulsification or MSICS combined with silicone oil removal which had pars plana vitrectomy. RESULTS:There were no statistically significant different in hypotony between phacoemulsification group ( 21 patients; 18. 91% ) and MSICS group (8 patients;15. 68% ) ( P = 0. 666 ) . There was also no statistically significant different between two group in 1mo retinal reattachment rate; 8 patients (7. 2% ) in phacoemulsification group had redetachment compared with 9 patients ( 17. 64% ) in MSICS combined with silicone oil removal group ( P =0? 055) . CONCLUSION: MSICS combined with silicone oil removal has non – inferiority result to phacoemulsification combined with silicone oil removal in hypotony, leakage, choroidal detachment and retinal reattachment rate.

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