Extracapsular cataract extraction after vitrectomy

Objective: To ascertain the reliability, safety, and effectiveness of extracapsular cataract extraction (without the use of pars plana infusion) in eyes that have had vitrectomy. Setting: The Manchester Royal Eye Hospital. Methods: A retrospective analysis of surgical and postsurgical complications and visual acuity change in 41 patients who had one or more vitreoretinal procedures, followed by extracapsular cataract extraction and intraocular lens implantation at a subsequent date. Results: No significant operative complications were encountered using an extracapsular technique without pars plana infusion. Thirty eyes (73.2%) had a significant increase in visual acuity, 10 (24.4%) did not change, and 1 worsened. Conclusions: A modified form of extracapsular extraction, with control of intraocular fluid flow but without the use of a pars plana infusion, is safe and effective in post-vitrectomy eyes.