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Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
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Dropped nucleus following phacoemulsification cataract surgery.

I Tajunisah1, S C Reddy

  • 1Department of Ophthalmology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia. tajun69@yahoo.com

The Medical Journal of Malaysia
|August 19, 2008
PubMed
Summary

The incidence of dropped nucleus during cataract surgery was 1.84%. Predisposing factors included hard cataracts and high myopia, with visual outcomes varying among patients.

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Area of Science:

  • Ophthalmology
  • Surgical Complications

Background:

  • Dropped nucleus is a significant complication during phacoemulsification in cataract surgery.
  • Understanding its incidence and predisposing factors is crucial for improving patient outcomes.

Purpose of the Study:

  • To determine the incidence, predisposing factors, and visual outcomes of dropped nucleus following phacoemulsification.
  • To analyze factors influencing visual results after managing dropped nucleus.

Main Methods:

  • Retrospective analysis of 22 cases of dropped nucleus from 1,196 phacoemulsification procedures.
  • Management involved pars plana vitrectomy with lens fragment removal using phacofragmotome, vitrectomy cutter, or limbal delivery.

Main Results:

  • The incidence of dropped nucleus was 1.84%.

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Last Updated: Jul 2, 2026

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  • Predisposing factors included hard cataracts (13.6%), polar cataracts (9.1%), previously vitrectomized eyes (4.5%), and high myopia (4.5%).
  • Final visual outcome was ≥6/12 in 45.5% of eyes, with complications in 22.7%.
  • Conclusions:

    • The interval to vitrectomy, fragment removal method, and intraocular lens type did not significantly impact final visual outcomes.
    • Early identification and management of dropped nucleus are essential for mitigating complications.