Traumatic cataract with dropped nucleus

Traumatic cataract with dropped nucleus, needed IOL implantation in to the sulcus rhexis capture pars plana vitrectormy PPVretrieve

Category:

Education

Tags:

• Dropped
• Nucleus

[taay007]

She needed a pars plana vitrectomy with in 2 weeks to remove that large nucleaus. If it was small cortical fragments, they can dissolve but not the nuclear. She had to be covered by frequent topical steroids and NSAID to gaurd againt inflamation until the PPV.

[lastsalvo99]

thank you dr. youssef for posting this case. After I watched it a few times, I think the PC broke at the 1:14 mark, while the lens was spinning and being hydrodissected at the same time. You can see a sudden shift in the lens. It did seem more fragile than you would normally expect. Maybe her PC was 3 microns instead of the usual 4:)

[taay007]

Hi

Thank you for your comments. Not sure when exactly. But probably some time during the hydrodessection. The funny thing that she has very similar complication in her other eye few months after that, this time was at a later stage, after the IOL implantation. So I move the IOL haptic into the sulcus with optic rhexis capture. What I am thinking is that she had some form of congenital problem with her capsule.

Thanks

Tarek

[SmsmFaco]

Dear Dr Youssef

I think that this is a case of capsular block syndrome rather than traumatic pc rupture

notice the small size rhexis in relation to the size of the nucleus

good luck

[taay007]

Hi SmsmFaco

Thank you for your comment, I thought of that too. I do not do excessive hydrodessection and I push the nucleus to avoid capsular block. The funny thing that she has very similar complication in her other eye few months after that, this time was at a later stage, after the IOL implantation. So I move the IOL haptic into the sulcus with optic rhexis capture. What I am thinking is that she had some form of congenital problem with her capsule.

Thanks

Tarek

[rahimrasavu]

what about the dropped nuclear fragments  dr.rahim