Intracameral Air in Phacovitrectomy for Maintaining Intraocular Lens Position

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Combining pars plana vitrectomy with phacoemulsification and intraocular lens (IOL) implantation in eyes with cataract and coexisting vitreoretinal pathology has been shown to be safe and effective.1 Concomitant cataract removal may not only allow for better visualization of the posterior segment but may also facilitate more complete anterior vitreous removal. Finally, phacovitrectomy may be more convenient for the patient as only one surgical intervention is required.2 However, phacovitrectomy with gas tamponade may be associated with an increased rate of IOL-related complications, such as IOL subluxation, pupillary optic capture, IOL migration into the anterior chamber, posterior synechiae, and posterior capsular opacification.
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