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Small-gauge, sutureless pars plana vitrectomy to manage vitreous loss during phacoemulsification
K V Chalam1, Shailesh K Gupta, Sanjay Vinjamaram
1Department of Ophthalmology, University of Florida College of Medicine, Jacksonville, Florida 32209, USA. kuchalam@aol.com
Journal of Cataract and Refractive Surgery
|September 5, 2003
Abstract:
This technique manages vitreous prolapse associated with posterior capsule rupture during phacoemulsification by performing small-gauge pars plana vitrectomy with a sutureless, self-sealing incision performed in a closed chamber, maintaining normal intraocular pressure. A high-speed cutter exerts minimal traction on the vitreous. Accessibility to the vitreous through the pars plana is better, ensuring more complete removal of the vitreous and restoration of normal anatomy.