Phacophragmatomes and Integrated Phacoemulsification Features in Vitrectomy Devices

Abstract

Posterior dislocation of lens fragments into the vitreous cavity is a rare complication of cataract surgery. As a result of this complication, vision-threatening sequelae such as permanent intraocular inflammation, secondary glaucoma, corneal edema, cystoid macular edema, and retinal detachment may occur. Therefore, judicious intraoperative and postoperative management should be used to reduce the risk of complications in the removal of dislocated lens fragments. Release of vitreous adhesions from the dislocated nucleus with pars plana vitrectomy (PPV), followed by removal of dislocated lens fragments using a phacophragmatome or vitrectomy probe is the most effective solution. This usually requires the cooperation of anterior and posterior segment surgeons