Dropped lens fragment, dislocated intraocular lens.

Management of posteriorly dislocated crystalline lens has traditionally been performed with a standard 20-gauge vitrectomy system. The latest surgical platforms integrate multiple devices into single systems and feature advanced fluidics, vitreous cutting technology, and intraocular pressure control along with continued improvements in small-gauge instrumentation and wide-angle viewing systems. This allows truly robust removal of core vitreous and outstanding control of the surgical field on par with its 20-gauge predecessor, resulting in an expanded spectrum of complex vitreoretinal maneuvers feasible with 23- or 25-gauge systems. Posteriorly dislocated crystalline lens/intraocular lens is one such indication which can be safely and effectively managed by a 23- or 25-gauge vitrectomy system alone or combined with the 20-gauge fragmatome/forceps with lesser complications and early recovery.