Posterior Chamber Intraocular Lens Implantation in front of the Anterior Lens Capsule during Pars Plana Lensectomy and Vitrectomy

ABSTRACT

Many patients present simultaneously with visually significant (to the patient and surgeon) lens opacities and vitreoretional disease. Traditional management of this problem has included two operations vitrectomy followed by cataract extraction or cataract extraction followed by vitrectomy. Visual rehabilitation of aphakic eyes after pars plana vitrectomy is often difficult when anatomic objectives are achieved. Intraocular lens provides more natural and convenient vision. Now, simultaneous cataract extraction and lens implantation during pars plana vitrectomy can be considered. We performed posterior chamber lens insertion in the ciliary sulcus after completion of pars plana lensectomy, vitrectomy, and removal of intraocular foreign body. During pars plana lensectomy, we left the anterior lens capsule and zonules intact. After posterior chamber lens insertion, we removed the central anterior lens capsules from behind the optical component leaving a peripheral rim to support the haptics. The procedure provided good pseudophakic vision.