Authors: Katerina Papadopoulos (1), Athanasios Nikolakopoulos (1), Theoni Panagiotoglou (2), Vasiliki Kounali (2), Nikos Fragos (3), George Pappas (2) 1: Thessaloniki, Greece 2: Heraklion, Greece


To report the surgical outcome and the safety profile of 23-Gauge surgery for the management of dropped nucleus.


A retrospective interventional case series. 26 consecutive eyes underwent 23 gauge pars plana vitrectomy for the removal of dropped nucleus using only the cutter. Time of the procedure, postoperative visual acuity (VA) and complications were recorded. Minimum follow up was 3 months.

Effectiveness / Safety:

The mean time of surgery was 35 minutes and the time for nucleus removal was 29 minutes. The mean VA postoperatively was 6/12. No major complications were observed. Removal of nuclei from the vitreous cavity with a 23 gauge guillotine is a viable and safe procedure.

Take home message:

23 gauge lensectomy is very useful technique for small fragments and soft nuclei .It is efficient with minimal trauma to the eyeball. Though, it is time consuming and difficult for very hard nuclei.