Pars plana torsional phacoemulsification for removal of retained lens material during pars plana vitrectomy.

@article{Garg2011ParsPT,
  title={Pars plana torsional phacoemulsification for removal of retained lens material during pars plana vitrectomy.},
  author={Sunir J. Garg and R. Gary Lane},
  journal={Retina},
  year={2011},
  volume={31 4},
  pages={
          804-5
        }
}
Retained lens material is a rare complication of cataract surgery and also can occur as a result of trauma. It occurs in 0.1% to 1.5% of cataract patients. Risk factors for the development of retained lens material include less surgical experience, trauma, pseudoexfoliation, previous intraocular surgery, and increasing lens density. While small pieces of cortical material may be observed to reduce potential complications, including glaucoma, cystoid macular edema, and retinal detachment… 
Intravitreal Phacoemulsification Through Corneal Incision for Management of Posteriorly Dislocated Lens Material After Complicated Cataract Surgery: A New Surgical Technique.
TLDR
A new surgical technique for posteriorly dislocated lens material removal is described and its outcomes are described, which strongly suggest that the technique is closely approximating to an ideal one.
Small-gauge transconjunctival vitrectomy with phacoemulsification in the pupillary plane of dense retained lens matter on perfluorocarbon liquids after complicated cataract surgery
TLDR
The technique was used successfully, with good visual acuity outcomes and a low complication rate, in 13 patients operated on with transconjunctival vitrectomy with phacoemulsification of dense retained lens matter on top of PFCLs.
REMOVAL OF POSTERIOR SEGMENT RETAINED LENS MATERIAL USING THE OZIL PHACOEMULSIFICATION HANDPIECE VERSUS FRAGMATOME DURING PARS PLANA VITRECTOMY
TLDR
The use of torsional phacoemulsification during pars plana vitrectomy for retained lens material is a novel approach with potential advantages over the standard 20-gauge Fragmatome, including improved followability and purchase of lens material attributable to the addition of tORSional movement.
Intravitreal Phacoemulsification Using Torsional Handpiece for Retained Lens Fragments
TLDR
Intravitreal phacoemulsification using torsional hand piece is a safe and effective alternative to conventional longitudinal phacofragmentation in eyes with posteriorly dislocated lens fragments.
Dropped lens fragment, dislocated intraocular lens.
TLDR
Management of posteriorly dislocated crystalline lens has traditionally been performed with a standard 20-gauge vitrectomy system, but the latest surgical platforms integrate multiple devices into single systems and feature advanced fluidics, vitreous cutting technology, and intraocular pressure control, resulting in an expanded spectrum of complex vitreoretinal maneuvers feasible with 23- or 25- gauge systems.
Recent developments in cataract surgery.
TLDR
The anticipated duration of intraocular lens in the eye has significantly increased, and physico-chemical characteristics and endurance should allow the lens to keep its’ optical properties for up to three decades.
Verlust von Linsenfragmenten und Dislokation von Intraokularlinsen
Zur Versorgung einer posterior dislozierten Linse wurde traditionell ein standardmäßiges 20-Gauge-Vitrektomiesystem verwendet. Die neuesten chirurgischen Plattformen kombinieren zahlreiche Geräte und
Recent Developments in Cataract Surgery

References

SHOWING 1-8 OF 8 REFERENCES
Intravitreal Phacoemulsification with Pars Plana Vitrectomy for Management of Posteriorly Dislocated Nucleus or Lens Fragments
TLDR
Immediate vitrectomy and intravitreal phacoemulsification is a surgical option in the management of posteriorly dislocated nucleus/lens fragments without much risk of retinal damage and the risk of postoperative complications including uveitis, secondary glaucoma, and cystoid macular edema could be minimized.
25-GAUGE PARS PLANA VITRECTOMY FOR RETAINED LENS FRAGMENTS
TLDR
A 25-gauge vitrectomy technique, without the use of a phacofragmatome, may be a suitable alternative to 20-gAUge vitreous surgery using a phACofragMatome in the management of retained lens fragments after complicated cataract surgery.
Phacoemulsification in the Vitreous Cavity for Retained Nuclear Lens Fragments
TLDR
PPV with intravitreous phacoemulsification is the technique of choice for dislocated nuclei or nuclear fragments in the vitreous cavity for retained nuclear lens fragments after pars plana vitrectomy.
Comparison of a torsional handpiece through microincision versus standard clear corneal cataract wounds
Comparison of conventional and torsional mode (OZil) phacoemulsification: randomized prospective clinical study
TLDR
No statistically significant difference was found between conventional and torsional phacoemulsification with respect to USTT and CDE and Torsional mode also appears to be associated with less loss of ECD.