Abstract:AIM:To evaluate the effect of treating the glaucoma with phacoemulsification replacing phacofragmentation without perfluorocarbon liquid to remove the dislocated lens in vitreous cavity. ·METHODS:Between November 2007 and March 2010,a series glaucomatous cases of 16 patients 16 eyes with posterior dislocation lens because of ocular trauma or cataract surgery were studied retrospectively. The total vitrectomy combined with intravitreal phacoemulsification devoid of the silicone sleeve was used to remove dislo-cation of the lens. The main outcome measures were visual acuity,intraocular pressure,retina and sclera heal-ing postoperatively. ·RESULTS:All dislocated lenses were successfully removed. There was no retinal detachment,retinal hemorrh-age and sclera burning. No complications occurred during phacoemulsification. After operation,Visual acuity was counting fingers in 2 eyes,0.1-0.3 in 7 eyes,more than 0.3 in 5 eyes and was unchanged in 2 eyes. The postoperative intraoclar pressure was located between 15-20mmHg in 14 eyes and lowered to mormal range in another two eyes using anti-glaucoma medical drops. ·CONCLUSION:The conventional phacoemulsification probe devoid of the silicone sleeve can be used to remove the dislocaed lens of vitreous cavity in vitrectomy surgery. This technique has minor injury,convenience and short time and doesn’t need the perfluorocarbon injection. It is preferred to treat the glaucoma due to the dislocation of lens.
