Management of nucleus and IOL drop.

Abstract: Background: Thirty six cases of lenticular nucleus drop following phacoemulsification and 43 cases of posterior dislocation of intraocular lens (IOL) inclusive of two paediatric cases were managed by a modified vitrectomy procedure without using perfluorocarbon liquid (PFCL). Methods: In these cases the incision was placed inferotemporally at pars plana. The limbal sites of the earlier cataract surgery were utilised as the other two ports. In either case adequate vitrectomy was performed first. In cases of nuclear drop, the nucleus was impaled (speared) with a micro vitreo retinal blade and brought into the anterior chamber from where it was delivered out. In cases of IOL drop the same was picked up by an intra-vitreal forceps. Result: Of the 77 adult cases treated 57 (74%) of the eyes had a visual recovery of 6/18 or more. Conclusion: Prompt surgical management in cases of nuclear drop or posterior dislocation of IOL yields good results. [Copyright &y& Elsevier]