Pipat KongsapDepartment of Ophthalmology, Prapokklao Hospital, Chanthaburi, Thailand; Affiliated with the Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandObjective: To present a new surgical approach for the management of posteriorly dislocated lens by using a combination of 20-gauge (20G) and 23-gauge (23G) pars plana vitrectomy.Design: An interventional case seriesMethods: This technique was performed on read more six patients (five men, one woman; mean age, 66.67 years; range, 66–72 years).
Two 23G trans-conjunctival sclerotomy ports were created for infusion and illumination along with a 20G sclerotomy port for introducing the vitrectomy probe or fragmatome.Results: This procedure was successfully performed on six eyes.On postoperative day nightstick twm-850xl one, the media were clear and the retina could be seen by indirect ophthalmoscopy.
Hyphema developed in one eye and resolved within a week.There were no observed cases of retinal tear, wound leakage, hypotony, or endophthalmitis.The post-operative follow-up period ranged from three to twelve months (mean, 8.
1 months).By the final visit, two patients had achieved a visual acuity of 20/40 or better, three patients, 20/70, and one patient, 20/200.Conclusion: The combination of 20G and 23G pars plana vitrectomy is an efficacious and safe procedure for management of posteriorly dislocated lens.
Keywords: lensectomy, fragmatome, sutureless vitrectomy.