Nucleus Drop Treatment

Introduction:
Drooped nucleus and retained lens fragment is a complication not so rare in clinical practice. In the era where cataract surgery is being performed for visual enhancement rather than visual rehabilitation, the management of a dropped nucleus saves the patient from unnecessary anxiety and hastens visual recovery. In this chapter risk factors, the timing of surgery, various approaches for removal of the lens will be discussed.

Incidence:
Dropped nucleus and cortical remnants occur more frequently in phacoemulsification than other techniques of cataract surgery 1,2 . Surveys in developed nations like U.S and U.K have reported incidences of 0.3 % 1 and 1.1 % respectively. In India, few studies have quoted its incidence to be around 0.8 %. [3]

Risk Factors:
The exact cause for the posterior displacement of the nucleus is difficult to determine but certain conditions predispose for complication4

• Pseudoexfoliation syndrome
• Traumatic cataract
• Fellow eye of complicated cataract surgery
• Eyes with transillumination defects in iris
• Previously vitrectomized eyes
• Eyes with phacodonesis
• Dense brunescent cataracts
• Hypermature cataracts
• Very aged patient
• Intraoperative floppy iris syndrome
• High ammetropia
• Posterior Polar Cataract
• Posterior Sub Capsular Cataract
• Preventive Steps in High risk cases:
• Adequate Pupillary dilation
• Gentle Hydro dissection

For more information or to book appointment for Nucleus Drop treatment in Allahabad, please contact Dr. Ashish Mitra at +91 8085309909 or write us at info@eyeclinicprayagraj.com