23-Gauge Pars Plana Vitrectomy without Phacofragmentation for Dislocated Lens Fragments after Complicated Cataract Surgery

• Main Authors: Gurkan Erdogan, Bugra Karasu, Abdullah Ozkaya, Irfan Perente, Zeynep Alkin, Muhittin Taskapili
• Format: Article
• Language: English
• Published: KARE Publishing 2016-12-01
• Series: Beyoglu Eye Journal
• Subjects: cataract surgery; dislocated lens fragment; 23-gauge vitrectomy.
• Online Access: https://jag.journalagent.com/z4/download_fulltext.asp?pdir=beyoglu&un=BEJ-18209

INTRODUCTION[|]The present study is an evaluation of outcomes of 23-gauge pars plana vitrectomy (PPV) performed to ex- tract dislocated lens fragments without phacofragmentation after complicated cataract surgery.[¤]METHODS[|]In a consecutive case series, 50 eyes that underwent 23-gauge PPV without use of phacofragmatome were retrospectively reviewed.[¤]RESULTS[|]Visual acuity (VA) improved from preoperative 20/250 to 20/57 final VA (p<0.01). Mean surgical operating time for removal of lens material was 13.4 minutes (range: 1–52 min). Mean length of time period between complicated cata- ract surgery and PPV was 8.4 days (range: 0–60 d) and was negatively correlated with surgical time required (p<0.01).[¤]DISCUSSION AND CONCLUSION[|]Comparable results were obtained with 23-gauge PPV performed without phacofragmentation for elimina- tion of lens fragments following cataract surgery, making it a suitable alternative option. Amount of dislocated lens and the length of time since the cataract surgery are the main factors affecting operation time.[¤]