A 58 year – old gentleman had undergone cataract surgery (Phacoemulsification) in the right eye for cataract but during surgery there was a tear in the posterior capsule of the lens which led to the falling of some pieces of lens matter back into the vitreous cavity. The patient was immediately referred to a retinal surgeon for management. The patient underwent Pars Plana Vitrectomy in the right eye for removal of the lens fragments. An Intraocular lens was then placed in the sulcus in the eye and patient had good postoperative vision of 6/9.

A 65 year – old lady underwent cataract surgery in the right eye for immature senile cataract. During the surgery there was a Posterior capsule rent in the lower part. The Intraocular Lens (IOL) was implanted in the eye and it was in position. Postoperatively patient had good vision for 5 days. Then suddenly she had a reduction in vision one morning. There was no history of any trauma, no pain and no redness of eyes.

On examination vision in the right eye was counting fingers 2 meters. Ocular examination showed normal anterior chamber but there was no Intraocular lens in the pupillary area. Fundus examination showed the IOL in the vitreous cavity. Patient was advised to undergo Pars Plana Vitrectomy to remove the IOL, which she underwent the next day. During the surgery first the vitreous was removed, the IOL was then floated up by injecting a heavy fluid called PFCL and removed through the anterior chamber. The IOL was reinserted into the sulcus and placed on the capsular rim. Postoperatively the IOL remained in place and patient had good vision of 6/9.