Anterior vitrectomy: Simplified

• Published in: Indian journal of ophthalmology Vol. 72; no. 6; p. 920
• Main Authors: Venkataraman, Prasanna, Shroff, Anahita
• Format: Journal Article
• Language: English
• Published: India Medknow Publications & Media Pvt. Ltd 01.06.2024; Wolters Kluwer - Medknow; Wolters Kluwer Medknow Publications
• Subjects: anterior vitrectomy; cataract complication; Cataract Extraction - methods; Cataracts; Humans; IJO Videos; intraocular lens; pcr; posterior capsular rent; sulcus; Surgeons; Visual Acuity; Vitrectomy - methods
• ISSN: 0301-4738; 1998-3689; 1998-3689
• DOI: 10.4103/IJO.IJO_1421_23

Anterior vitrectomy is a skill all cataract surgeons should develop and master. Every surgeon will have complications at some point in his/her career. Complication management should be part of the surgical training for all cataract surgeons. Posterior capsular rent does not translate to poor visual outcomes. If managed properly, excellent visual outcomes can be achieved and complications minimized. We aim to simplify the anterior vitrectomy procedure by this video. This video will serve as a step-by-step practical guide to the intraoperative management of posterior capsular rent by simplifying the anterior vitrectomy procedure. This video will demonstrate how to tackle the dreaded complication of a posterior capsular rent with vitreous disturbance, and achieve optimal postoperative outcomes. We demonstrate how a PCR appears, and once identified, how to proceed. In addition, nuances regarding foot positions and different vitrectomy modes are included. Biaxial vitrectomy is explained. Lens placement post-PCR is demonstrated. Furthermore, a brief about postoperative management is included. https://youtu.be/dTo7sMpe8h8.