Removal of lens material dropped into the vitreous cavity during cataract surgery using an optical fiber-free intravitreal surgery system

We describe a technique for removing lens fragments dropped into the vitreous cavity during cataract surgery using an optical fiber-free intravitreal surgery system (OFFISS) that was developed for bimanual vitrectomy. The dropped nucleus was removed by 2-port corneal vitrectomy using the OFFISS in 3 patients during complicated cataract surgery. No complications occurred, and good visual recovery was achieved. The OFFISS provided a good view of the fundus without fiber optics and allowed the use of 2 ports for vitrectomy through the corneal wound. This technique is suitable for cataract surgeons who have not been trained in 3-port pars plana vitrectomy.