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Journal of Ophthalmology
Volume 2016, Article ID 2384312, 9 pages
http://dx.doi.org/10.1155/2016/2384312
Research Article

Dealings between Cataract and Retinal Reattachment Surgery in PVR

1Vitreoretinal Unit, University Eye Hospital, Frankfurt/Main, 60590 Hessen, Germany
2University Eye Hospital, Frankfurt/Main, 60590 Hessen, Germany
3Institute of Biostatistics and Mathematical Modelling, University Hospital, Frankfurt/Main, 60590 Hessen, Germany
4Oculus Optikgeräte GmbH, Wetzlar, 35582 Hessen, Germany

Received 30 October 2015; Accepted 20 January 2016

Academic Editor: Fam H. Bor

Copyright © 2016 Svenja Deuchler et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. To evaluate the impact of the eye lens status and oil side effects on the outcome of vitreoretinal surgery in retinal detachment with proliferative vitreoretinopathy (PVR) and a temporary silicone oil tamponade (SOT). Methods. 101 eyes were analyzed retrospectively and 103 eyes prospectively in regard to their retinal reattachment success rate and key factors for the outcome. Subgroup analysis of 27 eyes with Scheimpflug lens photography (SLP) before and after retinal reattachment service with SOT was performed. For SLP (65% phakic eyes) a Pentacam densitometry reference body with 3 mm diameter was chosen and 3 segments (anterior/mid/posterior) were evaluated separately after a quality check. Results. The retinal reattachment rate was highest in the prospective pseudophakic group (). Lens transparency loss occurred earlier in middle aged patients than in younger patients. Besides the nucleus, layers posterior and anterior to it showed specific transparency changes. The emulsification rate was higher when eyes had been operated on in the anterior chamber before retinal reattachment service. Conclusions. Retinal reattachment surgery seems to benefit from preoperative cataract removal. We found significant lens changes in the nucleus as well as in the layers anterior and posterior to it. This corresponds to the histology of the lens epithelium published before.