title: Combined pars plana vitrectomy and sutured posterior chamber implant.
abstract: OBJECTIVE
  To describe the surgical technique, visual acuity results, and complications of sutured posterior chamber intraocular lenses with complete pars plana vitrectomy.
  
  
  METHODS
  A retrospective review of 63 eyes was combined with a telephone survey of the patients and their ophthalmologists.
  
  
  RESULTS
  The preoperative diagnoses were trauma, 25 eyes; ectopia lentis, 24 eyes; aphakia following retinal detachment surgery, 7 eyes; cataract surgery, 6 eyes; and endophthalmitis, 1 eye. Mean follow-up was 20 months. Preoperative best-corrected visual acuity was 20/40 or better in 36% (23 of 63 eyes), 20/60 to 20/120 in 33% (21 of 63 eyes), and 20/200 or worse in 31% (19 of 63 eyes) improving to 20/40 or better in 76% (48 of 63 eyes), 20/60 to 20/120 in 18% (11 of 63 eyes), and 20/200 or worse in 6% (4 of 63 eyes) at final follow-up. Preoperative complications included iatrogenic retinal breaks in 3 cases, difficulty with a fixation suture in 1 case, and mild vitreous hemorrhage in 1 case. Postoperative complications included retinal detachment in 2 cases, choroidal hemorrhage in 1 case, intermittent pupil capture in 9 cases, self-limiting vitreous hemorrhage in 3 cases, and late intraocular lenses dislocation in 1 case.
  
  
  CONCLUSIONS
  Suturing a posterior chamber implant concurrently, or following, a complete pars plana vitrectomy is a safe procedure. Complete vitrectomy may reduce the rate of long-term complications. Optimal visual rehabilitation can be achieved without the need for contact lens wear with an acceptable additional risk of surgical complications. Arch Ophthalmol. 2000;118:905-910
authors.affiliation: Consultant Vitreoretinal Surgeon, Moorfields Eye Hospital, City Road, London EC1V 2PD, England.
authors.forename: R L
authors.initials: RL
authors.lastname: Johnston
authors.forename: D G
authors.initials: DG
authors.lastname: Charteris
authors.forename: S E
authors.initials: SE
authors.lastname: Horgan
authors.forename: R J
authors.initials: RJ
authors.lastname: Cooling
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D006306:Health Surveys; D006801:Humans; D007431:Intraoperative Complications; D007905:Lens Diseases / Q000601:surgery; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D013536:Suture Techniques; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*