Vitrectomy combined with phacoemulsification and intraocular lens suspension for lens dislocation

Objective To investigate the clinical effects of vitrectomy combined with phacoemulsification and intraocular lens suspension for lens dislocation.Methods Thirty patients(30 eyes) with lens dislocated into the vitreous were chosen,in which 25 eyes with whole lens dislocation induced by contused wound of eyeball,2 eyes with whole lens dislocation after cataract surgery,3 eyes with lens nucleus dislocated into the vitreous after cataract extraction.The different methods were used according to the nucelus hardness dislocated into the vitreous,the vitrectomy combined with phacoemulsification and intraocular lens suspension was performed,the silicone oil filled when necessary.The visual acuity,intraocular pressure and complications were observed,the follow-up time was from 0.5 a to 1 a.Results The vitrectomy combined with lens excision and intraocular lens suspension were performed in 19 cases(19 eyes),vitrectomy combined with phacoemulsification and intraocular lens suspension in 10 cases(10 eyes),vitrectomy combined with phacoemulsification and silicone oil padding in 1 case(1 eye).Postoperative visual acuity was from 0.1 to 0.3 in 16 eyes,from 0.3 to 0.5 in 9 eyes,more than 0.5 in 5 eyes;Postoperative 3 eyes had secondary glaucoma and came back to normal range after treatment.No other complications occurred during the follow-up time,such as retinal detachment,vitreous hemorrhage,artificial lens for deviation,et al.Conclusion Vitrectomy combined with phacoemulsification and intraocular lens suspension is a safe and effective therapeutic method for lens dislocation.