Surgical Management of a Dropping Nucleus
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This chapter reports about the surgical management a dropping nucleus
KeywordsTrocar surgery Trocar Pars plana Dropping nucleus Viscolevitation
A dropped nucleus is the most dreaded complication of a cataract surgeon. If you learn this surgical technique, then you can manage the vast majority of dropped nucleus cases on your own.
This technique requires swift action. As soon as you observe a posterior capsular rent, and/or a dropping nucleus then stop phacoemulsification. If the nucleus remains stable, then insert a trocar cannula. Then insert the viscoelastic cannula through the trocar cannula, inject viscoelastics behind the nucleus and then elevate the nucleus into the anterior chamber. Remark: The maneuver is easier, if you straighten the angled viscoelastic canula.