Dropped nucleus following phacoemulsification cataract surgery
Document Type
Article
Publication Date
1-1-2007
Abstract
Twenty two cases of dropped nucleus following 1,196 phacoemulsification procedures in cataract surgery were examined retrospectively to determine the incidence, predisposing factors and visual outcomes of this dreaded complication. All the cases underwent pars plana vitrectomy and the lens fragments were removed with phacofragmotome, vitrectomy cutter or delivered through limbus. The incidence of dropped nucleus was 1.84%. The predisposing factors were hard cataracts (13.6%), polar cataracts (9.1%), previously vitrectomized eyes (4.5%) and high myopia (4.5%). The final visual outcome was > 6/12 in 10 eyes (45.5%); complications were seen in 5 eyes (22.7%). The interval between initial surgery and vitrectomy, the method of fragment removal and the type of lens implanted, did not influence the final visual outcome.
Keywords
Phacoemulsification, Dropped nucleus, Cataract, Pars plana vitrectomy
Divisions
fac_med
Publication Title
Medical Journal of Malaysia
Volume
62
Issue
5
Publisher
Malaysian Medical Association
Additional Information
DH