Original Article

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


  • Fatih Horozoğlu
  • Ateş Yanyalı
  • Aydın Maçin
  • Ahmet Fazıl Nohutcu
  • Kadircan Keskinbora

Received Date: 30.01.2011 Accepted Date: 19.03.2011 Turk J Ophthalmol 2011;41(4):213-216


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.


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.


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. (Turk J Ophthalmol 2011; 41: 213-6)

Keywords: 23-gauge vitrectomy, posteriorly dislocated intraocular lens, pars plana vitrectomy

Full Text (Turkish)