- Ophthalmic Surgery, Lasers and Imaging
- July/August 2012 - Volume 43 · Issue 4: 351-352
A technique for removal of retained lens material is described with a three-port 23-gauge vitrectomy system. Removal of the core vitreous is first performed, followed by removal of the cortical vitreous. All vitreous adhesions to the lens are cleared. The cut rate is then decreased to 1,500 cuts per minute, and vacuum increased to 600 mm Hg. The cortical lens material is cleared first, and then the nuclear material is taken with the same vitrectomy probe using the light pipe to assist in crushing the nuclear fragments. With this technique, even large dense nuclear and cortical retained lens material can be removed from the vitreous chamber without the need for a fragmatome.
From the Department of Ophthalmology (RB, BJE, KS, NM), University of Colorado Health Science Center, Rocky Mountain Lions Eye Institute, University of Colorado School of Medicine, Aurora, Colorado; and the Department of Ophthalmology (HQ-M), Denver Health Medical Center, University of Colorado School of Medicine, Denver, Colorado.
The authors have no financial or proprietary interest in the materials presented herein.
Address correspondence to Ramanath Bhandari, MD, Rocky Mountain Lions Eye Institute, University of Colorado, Department of Ophthalmology, 1675 Aurora Court, F731, Aurora, CO 80045. E-mail: firstname.lastname@example.org
Received: September 01, 2011
Accepted: April 30, 2012
Posted Online: June 07, 2012