Combined Phaco/25-Gauge Vitrectomy

  • F. Genovesi-Ebert
  • S. Rizzo
  • M. Palla
Part of the Essentials in Ophthalmology book series (ESSENTIALS)
  • Cataract formation and progression are common after vitreoretinal surgery.

  • Combo surgery facilitates vitrectomy and increases patient satisfaction, while delayed phacoemulsification may be difficult and risky.

  • Place the trocar before starting the phaco.

  • Currently MICS is the choice.

  • Implant the IOL before the vitreoretinal procedures. Delay the implant after the end of PPV only if the posterior capsula has torn.

  • At the end of the surgery, inject acetylcholine in the anterior chamber, remove the superotemporal and nasal plugs, lower the air infusion to 10-mm value and perform an air/gas exchange using a 30-gauge needle; then remove the infusion line.

  • Considering the advantages of combo surgery, we suggest that combined phaco/25-gauge PPV should be routinely performed in presbiopic patients, even in absence of significant cataract.


Anterior Chamber Macular Hole Anterior Chamber Depth Infusion Line Vitreoretinal Surgery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • F. Genovesi-Ebert
    • 1
  • S. Rizzo
    • 1
  • M. Palla
    • 1
    • 2
  1. 1.Eye Surgery ClinicSanta Chiara HospitalPisaItaly
  2. 2.U.O. Chirurgia Oftalmica S. Chiara HospitalAzienda Ospedaliero-UniversitariaPisaItaly

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