Treatment of luxated lens fragment by bimanual phacoemulsification using an optical fiber-free intravitreal surgery system

Purpose: To report 2 eyes of posteriorly luxated lens fragment by bimanual phacoemulsification and aspiration (PEA) using an optical fiber-free intravitreal surgery system (OFFISS). Cases and Method: One was a 69-year-old woman with luxated lens following blunt ocular trauma. The other was a 59-year-old man with luxated lens fragments during routine cataract surgery. Both eyes were treated by PEA and OFFISS. Results: The current surgical modality enabled bimanual fixation of the lens or lens fragments. There was no intra- or postoperative complication. Both cases attained final visual acuity of 0.3 and 1.0 respectively. Conclusion: Luxated lens or lens fragments can be safely treated by bimanual PEA and OFFISS.