Primary posterior capsulotomy using a 25-gauge vitreous cutter in vitrectomy combined with cataract surgery.
We describe a primary posterior capsulotomy technique using a 25-gauge vitreous cutter to prevent postoperative posterior capsule opacification (PCO) in patients with vitreoretinal diseases who must have a vitrectomy combined with cataract surgery. Following phacoemulsification, a 25-gauge vitrectomy, and intraocular lens implantation in the capsular bag, the posterior capsule is removed via a pars plana approach using a 25-gauge vitreous cutter; the removed capsule is round, well centered, and approximately 5.0 mm in diameter. This technique prevents postoperative PCO completely, improving vision and enabling detailed examination of the fundus after surgery.
Sato
Shimpei
S
Department of Ophthalmology, Yokohama City University Medical Center, Yokohama, Japan.
Inoue
Maiko
M
Kobayashi
Satoshi
S
Watanabe
Yoichiro
Y
Kadonosono
Kazuaki
K
D000328:Adult; D000368:Aged; D002386:Cataract / Q000150:complications; D005260:Female; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D008297:Male; D008866:Microsurgery / Q000295:instrumentation*; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications / Q000517:prevention & control; D012164:Retinal Diseases / Q000150:complications; D014821:Vitrectomy / Q000295:instrumentation / Q000379:methods*