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Sutureless vitrectomy with triamcinolone stain effective after vitreous loss in phaco

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Sutureless pars plana vitrectomy combined with intracameral triamcinolone stain was an effective technique for managing vitreous loss during phacoemulsification, leading to rapid visual rehabilitation, a study in Taiwan found.

Cheng-Jong Chang, MD, and colleagues in Taipei reviewed their outcomes in 19 eyes of 19 patients treated with the procedure. In all cases, vitreous loss occurred due to posterior capsule rupture during phacoemulsification.

Surgery lasted for an average of 25.3 minutes. The researchers found that 18 eyes (94.7%) had a final best corrected visual acuity (BCVA) of 20/40 or better, and eight eyes (42.1%) had a final BCVA of 20/20 or better. Vision had stabilized by 1 week postop for 11 eyes (52.4%) and by 1 month for 16 eyes (76.2%), according to the study.

Surgeons observed corneal edema in 12 eyes (57.1%) at 3 days postop and in three eyes (14.3%) at 7 days. Other postoperative complications included a displaced IOL in three eyes (14.3%) and cystoid macular edema in one eye (4.8%).

The study is published in the December issue of the Journal of Cataract & Refractive Surgery.