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Evaluation of Two Different Anterior Vitrectomies for Fluid Misdirection Syndrome Secondary to Cataract Surgery Combined with Goniosynechialysis by Zhenbin Qian; Yau Kei Chan; Liqing Wei; Bin Zheng; Li Nie; Weihua Pan is a Medicine article available to read on EtoBox.

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## Purpose To evaluate two different approaches of anterior vitrectomy combined with hyaloidotomy, zonulectomy, and iridectomy (VHZI) for fluid misdirection syndrome (FMS) secondary to phacoemulsification with intraocular lens implantation combined with goniosynechialysis (phaco-IOL-GSL). ## Methods Nine patients with FMS who developed after a phaco-IOL-GSL procedure, were retrospectively studied from May 2015 to February 2018. They were treated with VHZI, in which 5 cases underwent local anterior vitrectomy via anterior chamber approach, and the others underwent comprehensive vitrectomy via pars plana approach. Main outcome measures were pre- and postoperative intraocular pressure (IOP), number of antiglaucoma medications, and relapse rate. ## Results Incidence of FMS secondary to phaco-IOL-GSL was 1.4% (9 in 652 eyes), which was promptly resolved in all affected cases. VHZI via anterior chamber approach resulted in a significant decrease in the mean IOP from 40.2 ± 9.7 mm Hg at presentation to 15.2 ± 4.8 mm Hg postoperatively (__P__=0.01). The median number of antiglaucoma medications reduced from 3 to 2 (__P__=0.066). Meanwhile, VHZI via pars plana approach also resulted in the

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Author

Zhenbin Qian; Yau Kei Chan; Liqing Wei; Bin Zheng; Li Nie; Weihua Pan

Publisher

Hindawi Limited; Hindawi Publishing Corporation; New York NY: Hindawi Pub. Corp.; London: Hindawi (ISSN 2090-004X)

Published

2020

Language

EN

Field

Medicine (Health Sciences)