Pars plana lensectomy for subluxated and dislocated lenses

Area of Science:

• Ophthalmology
• Surgical Techniques

Background:

• Subluxated and dislocated lenses pose surgical challenges.
• Traditional open-sky limbal approaches carry significant risks.

Purpose of the Study:

• To evaluate the efficacy and safety of pars plana lensectomy for lens extraction.
• To compare outcomes with the open-sky limbal approach.

Main Methods:

• Utilized ultrasonic fragmentation via a closed system pars plana lensectomy.
• Applied the technique to subluxated and traumatically dislocated lenses.
• Monitored patients for operative and postoperative complications.

Main Results:

• Successfully extracted 11/11 subluxated lenses without complications (4.5-year follow-up).
• Extracted 4/4 traumatically dislocated lenses with no complications (1.5-year follow-up).
• Avoided complications associated with open-sky procedures.

Conclusions:

• Pars plana lensectomy is a safe and effective treatment for dislocated lenses.
• The closed system approach minimizes risks compared to open-sky methods.
• This technique is suitable for complex cases requiring additional procedures.