PURPOSE: The aim of this study was to evaluate the role of 25-gauge transconjuntival sutureless vitrectomy (TSV) in patients with persistent vitreous floaters who underwent multifocal intraocular lens (IOL) implantation. METHODS: Fourteen eyes of 11 patients with multifocal IOL implant associated with vitreous opacities that underwent 25-gauge vitrectomy were prospectively analyzed. Information collected included near (UCNVA) and distance uncorrected visual acuity (UCDVA), best corrected distance visual acuity (BCDVA), and the spherical equivalent (SE) before and 3 months after vitrectomy. Patients were questioned about surgery satisfaction and visual improvement after vitrectomy. RESULTS: Three months after 25-gauge TSV the mean visual acuities were: UCDVA, 0,10 ± 0,14; BCDVA, 0,02 ± 0,08; UCNVA, 0,00 ± 0,0; SE, +0,16 ± 0,34. Thirteen eyes (92.9%) had a UCDVA of 0.5 (20/40) or better, and 11 (78.5%) achieved a UCDVA of 0.8 (20/25) or better. Ten (90.9%) patients demonstrated satisfaction with surgery, and floaters have gone away in thirteen eyes (92.8%), while one patient expressed no satisfaction with her postoperative visual acuity because of the cystoid macular edema that occurred. CONCLUSION: 25-gauge TSV was a safe and accurate option for patients with multifocal lens and visual disturbing vitreous floaters providing subjective improvement of symptoms.
Vitrectomy; Lens implantation, Intraocular; visual acuity; Cataract extraction; Patient satisfaction; Treatment outcome
