Refractive Results After Combined Cataract-pars Plana Vitrectomy Surgery in Patients with Maculaoff Rhegmatogenous Retinal Detachment in Whom the Intraocular Lens is Implanted Using the Biometric Measurements of the Healthy Eye

Abstract

Purpose: Cataract with macula-off retinal detachment may prevent the surgical field. Combined surgery may be required. It is difficult to measure axial length in cases involving the macula. Therefore, it will not be possible to obtain an accurate biometry Different methods are used for accurate measurement in the affected eye. We wanted to show the results of cases in which biometric measurements were of the healthy eye, which is an alternative method, were used. Materials and methods: Thirty- two patients who had underwent combined phacoemulsification pars plana vitrectomy silicone injection surgery was included in the study. The healthy eye biometrics were used for intraocular lens power selection. Refraction results were obtained after silicone oil removal. Mann-Whitney U test was used to compare the expected refraction values in healthy eye measurements and the resulting refraction values of the operated eye. Results: There was a significant increase in visual acuity after surgery (1.2 ± 0.48 logMar, 0.6 ± 0.41, p = 0.001, p 0.05). There was no significant difference between the expected refraction value of the healthy eye and the result refraction value of the operated eye (p = 0.35, p> 0.05). Conclusion: Biometric values of the healthy eye can be used for IOL implantation in the presence of a cataract with macula-off retinal detachment.