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Pars plana posterior capsulectomy using a 27 gauge micro incision vitrectomy system for visually significant posterior capsule opacification

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Session Details

Session Title: PCO. Cataract Surgery Complications/Management

Session Date/Time: Tuesday 08/09/2015 | 08:00-10:30

Paper Time: 09:18

Venue: Room 1

First Author: : A.Puiu UK

Co Author(s): :    Z. Koshy   S. Srinivasan                 

Abstract Details


To evaluate the efficacy, safety and visual outcomes following pars plana posterior capsulectomy using a 27-gauge microincision vitrectomy system (27G - MVS) for visually significant posterior capsule opacification (PCO).


Vitreo-retinal service, University Hospital Ayr, Ayr, Scotland, United Kingdom.


Prospective interventional case series. Five eyes of five patients with dense PCO not amenable to laser capsulotomy underwent pars plana posterior capsulectomy with a 27-gauge MVS under topical and subconjunctival anaesthesia by a single surgeon. The cohort comprised of four males and one female with a mean age of 67.2 years. Pars plana infusion was used in 4 eyes while one had an anterior chamber maintainer intraoperatively. Uncorrected(UDVA) and corrected(CDVA) distance visual acuities, and intraocular pressure (IOP) were evaluated pre and post operatively. Post-operatively all eyes had topical antibiotic and steroid eye drops for a period of four weeks.


There were no intraoperative or postoperative complications. Posterior capsulectomy was successfully achieved in all eyes. The CDVA improved from counting fingers preoperatively to a mean of 0.3 log mar postoperatively.


In eyes with thick PCO (not amenable to laser capsulotomy) pars plana posterior capsulectomy with a 27G MVS appears to be a safe and effective technique providing rapid post operative visual recovery with minimal ocular inflammation.

Financial Interest:


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