Purpose:

To determine the recommendations from VR surgeons regarding the surgical management of a dropped nucleus.

Method:

A European-wide survey of 77 vitreoretinal-trained ophthalmic surgeons was conducted from 1st March to 31st March 2012. Questions regarding the surgical management of a dropped nucleus were posed.

Results:

67.5% of VR surgeons think the anterior segment surgeon should perform an anterior vitrectomy at the time of the primary surgery, whereas 32.5% say there should be no initial anterior vitrectomy. Furthermore, if attempted, 62.5% of surgeons believe the anterior vitrectomy is usually incomplete, and 51.5% of surgeons felt that no intraocular lens should be inserted prior to VR referral.

Conclusion:

There is no agreed opinion among VR surgeons as to whether the referring surgeon should perform anterior vitrectomy or insert an intraocular lens prior to referral. Consequently, there is a need for standardized guidelines in order to improve the surgical management of a dropped nucleus.