ISSN: 2459 - 1777 | E-ISSN 2587-0394
Volume: 4
Issue: 2
Year: 2019
23-Gauge Pars Plana Vitrectomy without Phacofragmentation for Dislocated Lens Fragments after Complicated Cataract Surgery [Beyoglu Eye J]
Beyoglu Eye J. 2016; 1(1): 1-4 | DOI: 10.14744/bej.18209  

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

Gurkan Erdogan1, Bugra Karasu2, Abdullah Ozkaya1, Irfan Perente1, Zeynep Alkin1, Muhittin Taskapili1
1Beyoglu Eye Training and Research Hospital, Istanbul, Turkey
2Department of Ophthalmology, Pendik State Hospital, Istanbul, Turkey

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.

Keywords: Cataract surgery, dislocated lens fragment, 23-gauge vitrectomy.


Gurkan Erdogan, Bugra Karasu, Abdullah Ozkaya, Irfan Perente, Zeynep Alkin, Muhittin Taskapili. 23-Gauge Pars Plana Vitrectomy without Phacofragmentation for Dislocated Lens Fragments after Complicated Cataract Surgery. Beyoglu Eye J. 2016; 1(1): 1-4

Corresponding Author: Gurkan Erdogan, Türkiye


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