Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Dec 19;12(12):CD006366.
doi: 10.1002/14651858.CD006366.pub3.

Surgery for post-vitrectomy cataract

Diana V Do  1 , Stephen Gichuhi, Satyanarayana S Vedula, Barbara S Hawkins
Affiliations

Surgery for post-vitrectomy cataract

Diana V Do et al. Cochrane Database Syst Rev. .

Update in

  • Surgery for postvitrectomy cataract.
    Do DV, Gichuhi S, Vedula SS, Hawkins BS. Do DV, et al. Cochrane Database Syst Rev. 2018 Jan 10;1(1):CD006366. doi: 10.1002/14651858.CD006366.pub4. Cochrane Database Syst Rev. 2018. PMID: 29364503 Free PMC article.

Abstract

Background: Cataract formation or acceleration can occur after intraocular surgery, especially following vitrectomy, a surgical technique for removing the vitreous which is used in the treatment of disorders that affect the posterior segment of the eye. The underlying problem that led to vitrectomy may limit the benefit from cataract surgery.

Objectives: The objective of this review was to evaluate the effectiveness and safety of surgery for post-vitrectomy cataract with respect to visual acuity, quality of life, and other outcomes.

Search methods: We searched CENTRAL (which contains the Cochrane Eyes and Vision Group Trials Register) (The Cochrane Library 2013, Issue 4), Ovid MEDLINE, Ovid MEDLINE in-Process and Other Non-Indexed Citations, Ovid MEDLINE Daily Update, Ovid OLDMEDLINE (January 1946 to May 2013), EMBASE (January 1980 to May 2013, Latin American and Caribbean Health Sciences Literature Database (LILACS) (January 1982 to May 2013), PubMed (January 1946 to May 2013), the metaRegister of Controlled Trials (mRCT) (www.controlled-trials.com), ClinicalTrials.gov (www.clinicaltrial.gov) and the WHO International Clinical Trials Registry Platform (ICTRP) (www.who.int/ictrp/search/en). We did not use any date or language restrictions in the electronic searches for trials. We last searched the electronic databases on 22 May 2013.

Selection criteria: We planned to include randomized and quasi-randomized controlled trials comparing cataract surgery with no surgery in adult patients who developed cataract following vitrectomy.

Data collection and analysis: Two authors screened the search results independently according to the standard methodological procedures expected by The Cochrane Collaboration.

Main results: We found no randomized or quasi-randomized controlled trials comparing cataract surgery with no cataract surgery for patients who developed cataracts following vitrectomy surgery.

Authors' conclusions: There is no evidence from randomized or quasi-randomized controlled trials on which to base clinical recommendations for surgery for post-vitrectomy cataract. There is a clear need for randomized controlled trials to address this evidence gap. Such trials should stratify participants by their age, the retinal disorder leading to vitrectomy, and the status of the underlying disease process in the contralateral eye. Outcomes assessed in such trials may include gain of vision on the Early Treatment Diabetic Retinopathy Study (ETDRS) scale, quality of life, and adverse events such as posterior capsular rupture. Both short-term (six-month) and long-term (one-year or two-year) outcomes should be examined.

PubMed Disclaimer

Figures

Figure 1
Figure 1. Study flow diagram
See this image and copyright information in PMC

Update of

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

References to studies excluded from this review

    1. Ahmadieh H, Moradian S, Faghihi H, Parvaresh MM, Ghanbari H, Mehryar M, et al. Anatomic and visual outcomes of scleral buckling versus primary vitrectomy in pseudophakic and aphakic retinal detachment: six-month follow-up results of a single operation--report no. 1. Ophthalmology. 2005;112(8):1421–9. - PubMed
    1. Asaria RH, Kon CH, Bunce C, Charteris DG, Wong D, Khaw PT, et al. Adjuvant 5-fluorouracil and heparin prevents proliferative vitreoretinopathy: results from a randomized, double-blind, controlled clinical trial. Ophthalmology. 2001;108(7):1179–83. - PubMed
    1. Batman C, Cekic O. Vitrectomy with silicone oil or long-acting gas in eyes with giant retinal tears: long-term follow-up of a randomized clinical trial. Retina. 1999;19(3):188–92. - PubMed
    1. Blankenship GW. The lens influence on diabetic vitrectomy results. Report of a prospective randomized study. Archives of Ophthalmology. 1980;98(12):2196–8. - PubMed
    1. The Diabetic Retinopathy Vitrectomy Study Research Group. Early vitrectomy for severe proliferative diabetic retinopathy in eyes with useful vision. Results of a randomized trial--Diabetic Retinopathy Vitrectomy Study Report 3. The Diabetic Retinopathy Vitrectomy Study Research Group. Ophthalmology. 1988;95(10):1307–20. - PubMed

Additional references

    1. Ahfat FG, Yuen CH, Groenewald CP. Phacoemulsification and intraocular lens implantation following pars plana vitrectomy: a prospective study. Eye. 2003;17(1):16–20. - PubMed
    1. Barañano AE, Wu J, Mazhar K, Azen SP, Varma R Los Angeles Latino Eye Study Group. Visual acuity outcomes after cataract extraction in adult Latinos. The Los Angeles Latino Eye Study. Ophthalmology. 2008;115(5):815–21. - PMC - PubMed
    1. Benson WE. Vitrectomy in clinical ophthalmology. In: Duane TD, editor. Duane's Clinical Ophthalmology. Vol. 5. Philadelphia: Lippincott; 1988. pp. 15–7.
    1. Bird AC, Bressler NM, Bressler SB, Chisholm IH, Coscas G, Davis MD, et al. An international classification and grading system for age-related maculopathy and age-related macular degeneration. The International ARM Epidemiological Study Group. Survey of Ophthalmology. 1995;39(5):367–74. - PubMed
    1. Biro Z, Kovacs B. Results of cataract surgery in previously vitrectomized eyes. Journal of Cataract and Refractive Surgery. 2002;28(6):1003–6. - PubMed

References to other published versions of this review

    1. Do DV, Hawkins BS, Gichuhi S. Surgery for post-vitrectomy cataract. Cochrane Database of Systematic Reviews 1. (2007) doi: 10.1002/14651858.CD006366. - DOI - PMC - PubMed
    1. Do DV, Hawkins B, Gichuhi S, Vedula SS. Surgery for post-vitrectomy cataract. Cochrane Database of Systematic Reviews. 2008;(3) doi: 10.1002/14651858.CD006366.pub2. Indicates the major publication for the study. - DOI - PMC - PubMed

Publication types