EDITED FILM


ABSTRACT

The management of nucleus drop is with vitrectomy. Inflammation is generally increased in these eyes after complicated cataract surgery, and posterior hyaloid is often attached. Vitrectomy probes are usually not efficient to remove these hard materials, and endophacofragmentation is often necessary. Endophacofragmentation probes are usually not available in 23g, and routine phaco probe without a sleeve can be used instead with pulling the trocar out. A thorough vitrectomy should be performed not to aspirate the peripheral vitreus fibrils causing an iatrogenic retinal break. In cases in which USG energy is used for nucleus drop the incidence of postoperative retinal tear and RD is reported to be high. Lifting the nucleus to the pupillary plane and extraction through a large corneal incision or performing phacoemulsification are other alternatives.

In this video a new 20g intraocular foreign body forceps is used to chop dropped hard nucleus that cannot be cut with a 23g vitrectomy probe in the very first patient. The small chopped particles can then be removed with the 23g cutter or by a backflush needle with active aspiration. A thorough vitrectomy is performed before lens chopping. Later, 23-g version of the forceps is produced and used for lens chopping to be inserted through 23g trocars. This technique can be an option for removing nucleus drop with the advantage of avoiding using ultrasound energy inside the vitreous, and the surgery can be completed through 23g trocars.


CONTACT DETAILS

 

Nur ACAR
ACIBADEM UNIVERSITY, SCHOOL OF MEDICINE, MASLAK HOSPITAL
Istanbul
Turkey
Email: nuracarr@gmail.com
Work Phone: +905353949539