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Advantages and disadvantages of one-stage phacovitrectomy (foreign literature review)


In recent years, the occurrence of vitreoretinal disorders has increased both in elderly and younger persons. Macular holes, epiretinal membranes, vitreous floaters, and other diseases require vitrectomy which results in cataract progression in the postoperative period. Additionally, in elderly patients, vitreoretinal disorders are commonly accompanied by cataract. As a consequence, some patients require phacovitrectomy, a procedure which combines pars plana vitrectomy, lensectomy, and IOL implantation. This procedure takes more time and is technically challenging. However, phacovitrectomy is well tolerated by the patients. It provides excellent eye fundus visualization for the surgeon and eliminates the second procedure, i. e., cataract surgery which may result in complications when performed after vitrectomy. Phacovitrectomy is an effective and safe procedure which decreases visual rehabilitation time and avoids adverse effects of second topical and general anesthesia while being associated with a significant reduction in overall healthcare costs.


ophthalmology; phacovitrectomy; cataract phacoemulsification

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Medicine. modern achievements in ophthalmology

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