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Purpose <p>To evaluate the changes in corneal astigmatism, axial length and anterior chamber depth following vitrectomy versus phacovitrectomy in patients with rhegmatogenous retinal detachment (RRD) under more detail group.To discuss how to avoid visual effect and improve visual quality after vitrectomy and phacovitrectomy by explore the mechanism of changes in corneal astigmatism, axial length and anterior chamber depth.</p> Methods <p>A total of 96 patients who underwent retinal surgery for RRD in one eye, between August 2016 and January 2018, were enrolled and divided into three groups. In 18 eyes, 23-gauge transconjunctival sutureless vitrectomy (23G TSV) was performed (group A); 25G TSV was performed in 49 eyes (group B); and phacovitrectomy with 25G TSV was performed in 29 eyes (group C). Silicone oil was injected after the surgery in all three groups. Anterior and posterior corneal astigmatism, axial length (AL), and anterior chamber depth (ACD) were measured at baseline and postoperatively at 1&#xa0;week, 1&#xa0;month, and 3&#xa0;months.</p> Results <p>Anterior and posterior corneal astigmatism did not change, and AL continued to increase for 3&#xa0;months after surgery, whereas ACD decreased postoperatively but quickly returned to baseline in groups A and B. In group C, anterior and posterior corneal astigmatism, AL, and ACD increased postoperatively, and corneal astigmatism returned to baseline by 3&#xa0;months, but AL and ACD continued to increase for 3&#xa0;months.</p> Conclusion <p>Vitrectomy alone does not affect anterior or posterior corneal astigmatism. Following vitrectomy, the AL increases, while the ACD decreases transiently. When vitrectomy is combined with phacoemulsification for cataract removal, the anterior and posterior corneal astigmatism increases transiently, while AL and ACD are enlarged for several months following surgery.</p>

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Changes in corneal astigmatism, axial length and anterior chamber depth after vitrectomy and phacovitrectomy in rhegmatogenous retinal detachment

  • 期刊论文

  • 发表日期：

    2026年6月19日

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  • Nan Liu,
  • Jinsong Zhao,
  • Bowen Wu,
  • Jiahang Li,
  • Siyan Jin

摘要

Purpose

To evaluate the changes in corneal astigmatism, axial length and anterior chamber depth following vitrectomy versus phacovitrectomy in patients with rhegmatogenous retinal detachment (RRD) under more detail group.To discuss how to avoid visual effect and improve visual quality after vitrectomy and phacovitrectomy by explore the mechanism of changes in corneal astigmatism, axial length and anterior chamber depth.

Methods

A total of 96 patients who underwent retinal surgery for RRD in one eye, between August 2016 and January 2018, were enrolled and divided into three groups. In 18 eyes, 23-gauge transconjunctival sutureless vitrectomy (23G TSV) was performed (group A); 25G TSV was performed in 49 eyes (group B); and phacovitrectomy with 25G TSV was performed in 29 eyes (group C). Silicone oil was injected after the surgery in all three groups. Anterior and posterior corneal astigmatism, axial length (AL), and anterior chamber depth (ACD) were measured at baseline and postoperatively at 1 week, 1 month, and 3 months.

Results

Anterior and posterior corneal astigmatism did not change, and AL continued to increase for 3 months after surgery, whereas ACD decreased postoperatively but quickly returned to baseline in groups A and B. In group C, anterior and posterior corneal astigmatism, AL, and ACD increased postoperatively, and corneal astigmatism returned to baseline by 3 months, but AL and ACD continued to increase for 3 months.

Conclusion

Vitrectomy alone does not affect anterior or posterior corneal astigmatism. Following vitrectomy, the AL increases, while the ACD decreases transiently. When vitrectomy is combined with phacoemulsification for cataract removal, the anterior and posterior corneal astigmatism increases transiently, while AL and ACD are enlarged for several months following surgery.