Transcorneal three-port vitrectomy without conjunctival incision.

Aim: To evaluate the safety and outcomes of trans corneal three port vitrectomy without conjunctival incision. Methods: A total of 27 patients were included in the study. out of which 13 patients were with posteriorly dislocated PCIOL (posterior chamber intra ocular lens), 9 patients with dropped cortical lens matter and 5 patients with vitreous hemorrhage. In all these patients, we made three limbal incisions and performed 23 G Trans Corneal Vitrectomy. All the patients were followed for six months. Results: In 13 patients posteriorly dislocated posterior chamber intra ocular lens was removed (among them in 8 patients same IOL was replaced), in 9 patients dropped cortical lens matter was removed and in 5 patients vitrectomy for vitreous hemorrhage was done by trans corneal three port vitrectomy without conjunctival incision without any significant complication. Striate keratopathy of different grades was present in first week post operatively only. No other complications were observed in follow up. Conclusion: Trans corneal three port vitrectomy without conjunctival incision is a safe technique for removal and replacement of dropped IOL, removal of cortical lens matter and vitrectomy for vitreous hemorrhage.