Combined 20-gauge and 23-gauge pars plana vitrectomy for the management of posteriorly dislocated lens: a case series

Figures & data

Table 1 Patients who underwent combined 20G and 23G pars plana vitrectomy/lensectomy

Patient	Age	Gender	Lesion	Cause	Diagnosis	Preop BCVA	Postop BCVA
1	66	M	OD	Trauma	PDL	CF/30 cm	20/40
2	72	F	Os	Trauma	PDL, G	3/200	20/200
3	72	M	OD	Trauma	PDL, Uveitis	CF/20 cm	20/70
4	66	M	Os	Trauma	PDL, VH	HM/10 cm	20/70
5	65	M	Os	Trauma	PDL	CF/30 cm	20/30
6	65	F	Os	Cataract	Dropped nucleus	9/200	20/70

Abbreviations: OD, oculus dexter; Os, oculus sinister; PDL, posteriorly dislocated lens; G, glaucoma; VH, vitreous hemorrhage; BCVA, best-corrected visual acuity; CF, count fingers; HM, hand motion; M, male; F, female.

Table 2 Preoperative ocular findings

Patient	Anterior segment finding pupils/iris capsule/zonule	Posterior segment finding
1	3 mm, round, 360° zonular dialysis	No vitreous hemorrhage, crystalline lens in posterior vitreous cavity, no retinal break
2	3 mm, iridodialysis, 360° zonular dialysis	No vitreous hemorrhage, crystalline lens in posterior vitreous cavity, lattice degeneration with a small retinal hole
3	2 mm, round, iris hole, 360° zonular dialysis	Haziness of vitreous gel, crystalline lens in posterior vitreous cavity, no retinal break
4	2 mm, round, 300° zonular dialysis	Vitreous hemorrhage, crystalline lens in anterior vitreous cavity, no retinal break
5	2 mm, round, 360° zonular dialysis	No vitreous hemorrhage, crystalline lens in posterior vitreous cavity, no retinal break
6	2 mm, round, P/C tear, intact anterior capsular ring, IOL in the sulcus	No vitreous hemorrhage, 80% of crystalline lens in vitreous cavity, no retinal break

Abbreviation: P/C, posterior capsule.