Incidence and factors associated with complication of sutured and sutureless cataract surgery following PPV
Reviewed by Jonathan Chan

This is a retrospective review of 485 patients who had undergone phacoemulsification and IOL implantation after previous pars planar victrectomy (PPV) surgery between May 2000 and May 2014. The incidence and factors contributing to complications were studied. The most common postop complication was posterior capsular opacification (PCO) in 171 eyes (33.3%). PCO correlated with duration of PPV (p<0.001), young age, p=0.003), and shorter interval from PPV to cataract surgery (p=0.001). Higher rates of postop IOL decentration and dislocation correlated with male sex, 20 gauge PPV +/- scleral buckling procedure (p< 0.001), and longer interval from PPV to removal silicone oil extraction (p=0.006). Intraoperative complications and findings were: PC plaque in 50 eyes (9.7%), PC rupture in 28 eyes (5.5%), dropped nucleus into vitreous in 17 eyes (3.3%) and zonular dialysis in 12 eyes (2.3%). The mean follow-up period was 35.1+/-31.4 months; the median interval from PPV to cataract surgery was 15.7+/-19.5 months. The authors commented that sutureless phacoemulsification in vitrectomised eyes was not associated with a higher incidence of endophthlmitis, suprachoroidal effusion or haemorrhage. They suggested a randomised controlled trial to support these findings.

Incidence and factors associated with complications of sutured and sutureless cataract surgery following pars planar victrectomy at a tertiary referral centre in Turkey.
Hocaoglu M, Karacorlu M, Muslubas IS, et al.
BRITISH JOURNAL OF OPHTHALMOLOGY
2016;100:1206-10.