BLOG: Dropped nucleus management
Click Here to Manage Email Alerts
A dropped nucleus is a dreaded complication in routine cataract surgery, and its management requires an intervention by a vitreoretinal surgeon.
Adequate measures should be adopted in order to avoid any secondary complications arising from the dropped nucleus.
The video here demonstrates an intraoperative dropped nucleus that the surgeon encounters. After performing adequate vitrectomy, the dropped nucleus is levitated into the anterior chamber with the sleeveless phaco tip-assisted levitation technique. Once the nuclear fragments are in the anterior chamber, they are placed above the surface of the iris. The IOL scaffold procedure is then performed wherein a three-piece IOL is placed beneath the nuclear fragments, and in this case, the haptics are placed on the iris surface due to inadequate sulcus support. The nuclear fragments are emulsified with a phaco probe, and the haptics of the same three-piece IOL are externalized with the glued IOL technique.
Collapse