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Implantation Protocol of the Foldable Capsular Vitreous Body for Complex Vitreoretinal Surgery

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Published on: April 14, 2026

Phacoemulsification and pars plana vitrectomy: a combined procedure.

Vandana Jain¹, Dharmesh Kar, S Natarajan

¹Department of Cornea and External Diseases, Aditya Jyot Eye Hospital Pvt. Ltd, Wadala, Mumbai, India. docvandanajain@rediffmail.com

Indian Journal of Ophthalmology

|April 26, 2007

Summary

Combined phacoemulsification, PCIOL insertion, and PPV is a viable surgical option for eyes with vitreoretinal pathology and cataracts. This combined approach achieved high rates of retinal reattachment and visual acuity improvement.

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Area of Science:

Ophthalmology
Retina Surgery
Cataract Surgery

Background:

Cataracts frequently coexist with vitreoretinal pathologies, complicating treatment.
Combined surgical approaches aim to address both conditions simultaneously.

Purpose of the Study:

To evaluate the outcomes of a combined phacoemulsification, posterior chamber intraocular lens (PCIOL) implantation, and pars plana vitrectomy (PPV) procedure.
To assess anatomical success (retinal reattachment), functional success (visual acuity), and complications in eyes with vitreoretinal pathology and cataract.

Main Methods:

Retrospective review of 65 eyes from 64 patients undergoing the combined procedure between 2000 and 2004.
Data collected included indications, intraoperative/postoperative complications, retinal reattachment rates, and best-corrected visual acuity (BCVA).

Main Results:

The most common indication was vitreous hemorrhage with or without retinal detachment (29.2%).
Primary anatomical success was achieved in 90.7% of eyes.
Visual acuity improved in 73.8% of cases; postoperative inflammation was higher in previously vitrectomized eyes.

Conclusions:

Combined phacoemulsification, PCIOL implantation, and PPV is a feasible and effective surgical option for managing complex cases.
The procedure offers good anatomical and functional outcomes for patients with coexisting vitreoretinal disease and cataract.