The Use of Perfluorophenanthrene in the Removal of Intravitreal Lens Fragments

Displacement of nuclear fragments into the vitreous complicating phacoemulsification surgery in the UK: clinical features, outcomes and management

“…In previous reports, a number of vitreoretinal techniques have been recommended for lens fragment removal, with mixed views about the safety of ultrasound fragmentation 3 16 17. In this study, perfluorocarbon liquids were used in 11%, and fragmatome ultrasound lensectomy was used in 54% of cases.…”

Vitrectomy with endoscopy for management of retained lens fragments and/or posteriorly dislocated intraocular lens

“…4. Although three teams did not find any adverse correlation between IOL placement at the time of cataract surgery and final visual outcome [3,13,29], the presence of an IOL in an inflammatory eye can sometimes be an additional difficulty for the vitreous surgeon. The ability to perform complete vitrectomy and removal of the debris over 360, whatever the condition of the anterior segment, and to perform PPP under direct visual control allows to recommend the cataract surgeon to perform implantation whenever it is technically possible, without worrying about the visual access to the posterior segment.…”

“…Particles were lifted by aspiration with the phako probe. In one case perfluorocarbon liquids (PFCL) [10,18,27,29] were used. Entry of the phako probe through the sclerotomy site, suction and emulsification of the particles were controlled under endoscopy.…”

Vitreoretinal Surgery

“…In this case, it is prudent to apply a small protective bubble of heavy liquid to the posterior pole, as it is likely that the nucleus will occasionally fall from the Fragmatome tip and may strike the macula or the optic disc (Wallace et al 1993 ) . Most wounds are now so small that they can usually be left without a suture but check the wound and rehydrate if necessary; the wound has not usually sealed by the time of the PPV.…”