Pupil-dilating drops: 11% developed posterior iris adhesions, versus 14% with standard care.
Posterior synechia formation after phacovitrectomy - Predicting factors and the role of short-acting mydriatics.
Yair Pesoa … Assaf Dotan
Acta ophthalmologica · May 2024 · Q1 in Ophthalmology
Purpose
To evaluate the influence of topical short-acting mydriatics on the formation of posterior synechia after phacovitrectomy surgery of pars plana vitrectomy and phacoemulsification with intraocular lens implantation.
Methods
Were followed until 24 months after surgery.
n = 57 eyes
Results
Eleven percent receiving pupil-dilating drops developed posterior iris adhesions after surgery.
11%
study group
14%
control group
More results
There was no statistical difference between the groups.
Significant associations for the development of posterior synechia were surgery for retinal detachment, longer surgery duration (>93 min) and the use of tamponade, in particular silicone oil.
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Conclusion · 1 of 2
The use of topical short-acting mydriatic drops after phacovitrectomy surgery, in addition to standard post-operative treatment, did not reduce the formation of posterior synechia.
Conclusion · 2 of 2
However, we identified several factors that may influence or act as predictors for the development of posterior synechia: surgery for retinal detachment, using silicone oil tamponade and a longer surgery duration.
