Managing a dropped nucleus during the phacoemulsification learning curve.


Three patients had a pars plana vitrectomy to remove retained nuclei within 72 hours after phacoemulsification performed by a surgeon making the transition from extra-capsular cataract extraction to phacoemulsification. After vitrectomy, the nuclei were brought to the midvitreous cavity from the retinal surface with a posterior segment phacofragmenter, emulsified, and completely removed. Then, a posterior chamber intraocular lens was implanted in the sulcus through the previous cataract surgery incision and remained well centered postoperatively. Postoperative complications included cystoid macular edema in 1 patient and choroidal detachment in another. No other complications were detected. Final visual acuity ranged from 20/60 to 20/30.


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@article{Lu1999ManagingAD, title={Managing a dropped nucleus during the phacoemulsification learning curve.}, author={He Jun Lu and Yuchong Rachel Jiang and Harry B Grabow}, journal={Journal of cataract and refractive surgery}, year={1999}, volume={25 3}, pages={447-50} }