Multifocal Intraocular Lens Implantation after Pars Plana Vitrectomy to Treat Retinal Detachment

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Purpose: To report the surgical outcomes of phacoemulsification and multifocal intraocular lens implantation after vitrectomy.Case summary: We present a retrospective case series of three eyes that underwent phacoemulsification with multifocal intraocular lens implantation after pars plana vitrectomy to treat retinal detachments that did not involve the macula. Multifocal intraocular lenses were implanted in patients with best-corrected visual acuities of at least 20/25 after vitrectomy. Optical coherence tomography revealed no disruption of the external limiting membrane, the ellipsoid zone, or the inner retinal layer from before vitrectomy to before cataract surgery. At 12 months postoperatively, the uncorrected visual acuities at distance were 20/25, 20/20, and 20/25 and the near uncorrected visual acuities 20/40, 20/25, and 20/25 respectively.Conclusions: Multifocal intraocular lens implantation after vitrectomy affords a favorable visual outcome in certain patients. It is important to consider macular structural status and the best-corrected visual acuity before cataract progression.

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