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Journal of Ophthalmology
Volume 2017, Article ID 7826735, 4 pages
Clinical Study

Refractive Lens Exchange Combined with Primary Posterior Vitrectorhexis in Highly Myopic Patients

Ophthalmology Department, Assiut University Hospital, Assiut, Egypt

Correspondence should be addressed to Wael Soliman; moc.oohay@37namilosleaw

Received 16 December 2016; Revised 20 March 2017; Accepted 30 March 2017; Published 20 April 2017

Academic Editor: Lisa Toto

Copyright © 2017 Tarek A. Mohamed et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To evaluate efficacy and safety of primary vitrectorhexis for posterior capsulotomy in highly myopic patients undergoing refractive lens exchange. Methods. The study is a prospective nonrandomized interventional study. The study comprised 60 eyes of 60 myopic patients. All patients underwent refractive lens exchange (RLE) and foldable IOL implantation combined with primary posterior capsulotomy. We used a 23-gauge vitrectomy probe for the creation of the posterior capsule opening. We followed the patients for one year. Results. During surgery, the IOLs remained well centered in the capsular bag after creation of the capsulotomy. Postoperatively, we did not report any complications related to lens centration or changes in the posterior capsulotomy size. No eye required YAG laser posterior capsulotomy and no cases of retinal detachment (RD) occurred during the follow-up period. Conclusion. Primary posterior vitrectorhexis during RLE is an efficient method in preventing the occurrence of posterior capsular opacification (PCO) and the need for YAG laser posterior capsulotomy with its possible complications.