23-gauge Transconjunctival Sutureless Vitrectomy in Eyes with Posteriorly Dislocated Intraocular Lens after Cataract Surgery

Purpose: To evaluate the outcomes of 23-gauge (23-G) transconjunctival sutureless vitrectomy (TSV) in eyes with posteriorly dislocated intraocular lens (IOL) after cataract surgery. Material and Method: In this retrospective study, we evaluated 6 eyes of 6 consecutive cases with posteriorly dislocated intraocular lens after cataract surgery between April 2007 and November 2010. Visual acuity, intraocular pressure, detailed fundus examination and details of surgery were recorded. Results: The mean age of the patients was 64.7 years and the mean follow-up was 5.5 months (3-12 months). All eyes received 23-G TSV. Dislocated IOL was removed from the vitreous and implanted into ciliary sulcus in 2 eyes (33.3%) with polymethylmetacrilate IOL and in 4 eyes (66.7%) with 3-piece hydrophilic acrylic IOL. In 5 of the 6 eyes (83.7%), visual acuity improved postoperatively. In one eye (16.7%), elevation of intraocular pressure was observed postoperatively and controlled by topical treatment. Discussion: 23-G TSV surgery may be used in eyes with posteriorly IOLs after cataract surgery. Studies with a larger number of patients would better demonstrate the efficacy of this method.