[Value of vitrectomy in treatment of lens dislocation into the vitreous].

PURPOSE

To present own experiences in vitrectomy in cases of subluxation or luxation of the lens to the vitreous cavity.

MATERIAL AND METHODS

41 eyes with subluxation (16) and luxation (25) of the lens, operated on between May 1992 and April 1994 were analysed. Before the surgery, secondary glaucoma was observed in 18 eyes, hypotony in 8. The aim of pars plana vitrectomy was to release the lens from the surrounding tissues, then the lens was put into anterior chamber and removed by limbal incision.

RESULTS

Visual acuity improvement was achieved in 73% of cases. Intraocular pressure was normalized in 14 eyes. Retinal detachment developed in 2 eyes after the surgery, and in one retina was reattached using silicone oil tamponade.

CONCLUSION

Our results indicate that it is possible to remove the dislocated lens using vitrectomy without perfluorocarbon.