(1)
St. Johns, FL, USA
(2)
Helen Keller Foundation for Research and Education, International Society of Ocular Trauma, Birmingham, AL, USA
(3)
Consultant and Vitreoretinal Surgeon, Milos Eye Hospital, Belgrade, Serbia
(4)
Consultant and Vitreoretinal Surgeon, Zagórskiego Eye Hospital, Cracow, Poland
Dropped nucleus is an often-used term, but the material is commonly a nucleus still encased in (some) cortex.
44.1 General Considerations
44.1.1 Dropped Nucleus1
The sooner the lens material is removed, the less anxiety the patient suffers (see Sect. 5.1 and Table 9.1), and the inflammation the eye is exposed to is also reduced. If a VR surgeon is available, it is best if the cataract surgeon immediately consults him, and if possible, the VR surgeon immediately performs the operation. If this is impossible, heavy topical steroid treatment is needed and the surgery be done within weeks.
The cataract surgeon must not try fishing out lens particles from the vitreous.
Q&A
Q
What if the cataract surgeon wants to implant an IOL before the PPV is done?
A
This is fine.
44.1.2 Dislocated IOL
Removal is not urgent; the more important question is whether the IOL can be repositioned or replaced.
Q&A
Q
What if the cataract surgeon wants to implant an IOL into an eye with a dislocated and retained IOL?
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