We developed two techniques to combine vitrectomy with cataract extraction. In technique 1, we used the lens fragmenter to break up cataractous lenses with 1 + to 2 + nuclear sclerosis. The vitrophage removed the lens and opaque vitreous body through a single pars plana incision. In technique 2, if the knife did not penetrate the nucleus (in the presence of 3+ or more nuclear sclerosis), we removed the lens through a corneal incision and immediately performed a vitrectomy with a vitrophage through the pars plana. In ten consecutive patients, we used these techniques successfully to remove cataractous lenses in patients undergoing vitrectomy for vitreous hemorrhage.
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