High speed small gauge anterior vitrectomy cutter for scleral fixated intraocular lens implantation.
OBJECTIVE
To report the outcomes of anterior vitrectomy using high speed cutter for scleral fixated intraocular lens (SFIOL) implantation in patients with posterior capsular rupture.


METHODS
Medical records of 51 patients with posterior capsular rupture who received high speed cutter anterior vitrectomyvialimbal incision with SFIOL implantation from June 2011 to December 2013 were reviewed retrospectively for visual outcomes and complications.


RESULTS
Totally 51 eyes of 51 patients were identified (23 males and 28 females). Mean age at surgery was 67.2±15y (range 27-91y), with mean follow-up of 23±8.2mo (range 12-40mo). The 49 (96.1%) eyes had improvement or unchanged of final postoperative visual acuity. The most common complication was vitreous haemorrhage (5.9%) and transient rise in intraocular pressure (5.9%) which all spontaneously resolved.


CONCLUSIONS
High speed cutter anterior vitrectomyvialimbal incision is a safe and effective method for those with posterior capsular rupture for SFIOL implantation.
Clinical and Epidemiological Eye Research Center, the Affiliated Eye Hospital, School of Optometry and Ophthalmology, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China.
Yuan Bo
YB
Liang
Department of Ophthalmology & Visual Sciences, the Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China.
Yoly Y Y
YY
Fong
Department of Ophthalmology & Visual Sciences, the Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China.
Lulu L
LL
Cheng
Department of Ophthalmology & Visual Sciences, the Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China.
Alvin L
AL
Young
aphakia; cataract; intraocular lens; posterior capsular rupture; scleral fixation