5. When to Remove Dropped Nucleus
Dr Nitin Prabhudesai
⢠Ideally any amount of dropped nucleus
should be removed
⢠Most Nuclear fragments incite an
inflammatory reaction & rise in IOP
⢠No attempt to âFish Outââ the nucleus
hastily
⢠Anterior Vitrectomy with closure of
wound
6. Should IOL be placed ?
⢠If the Anterior Capsular rim is intact
IOL can be placed
⢠If Capsular support not adequate
â Anterior chamber IOL
â Iris claw IOL
Dr Nitin Prabhudesai
7. When to remove Dropped IOL
⢠Visual disturbances
⢠Retinal defects
Dr Nitin Prabhudesai
8. How to remove Nuclear Fragments
⢠3 port Vitrectomy
⢠Fragmatome for larger & harder cases
⢠PFCL use to float the Nucleus
⢠Vitrectomy Cutter for softer cases
⢠Placement of IOL
⢠Secondary IOL
Dr Nitin Prabhudesai
9. Secondary IOL
⢠Choice of Secondary IOL after Primary surgery
â IOL on capsular rim
â Scleral Fixated IOL
â Glued IOL
Dr Nitin Prabhudesai
10. IOL removal
⢠3 port Vitrectomy
⢠IOL removal
⢠Placement of secondary
IOL
Dr Nitin Prabhudesai