High speed small gauge anterior vitrectomy cutter for scleral fixated intraocular lens implantation

● AIM: To report the outcomes of anterior vitrectomy using high speed cutter for scleral fixated intraocular lens(SFIOL) implantation in patients with posterior capsular rupture.● METHODS: Medical records of 51 patients with posterior capsular rupture who received high speed cutter anterior vitrectomy via limbal incision with SFIOL implantation from June 2011 to December 2013 were reviewed retrospectively for visual outcomes and complications.● RESULTS: Totally 51 eyes of 51 patients were identified(23 males and 28 females). Mean age at surgery was 67.2±15y(range 27-91y), with mean follow-up of 23±8.2mo(range 12-40mo). The 49(96.1%) eyes had improvement or unchanged of final postoperative visual acuity. The most common complication was vitreous haemorrhage(5.9%) and transient rise in intraocular pressure(5.9%) which all spontaneously resolved● CONCLUSION: High speed cutter anterior vitrectomy via limbal incision is a safe and effective method for those with posterior capsular rupture for SFIOL implantation.