Video Journal of Cataract & Refractive Surgery
    Cataract/Anterior Segment, Retina/Vitreous

    Dr. Debashis Dutta encounters a dropped nucleus during surgery for a grade 4 cataract. Due to a loose posterior capsule, he inserts a capsular tension ring. However, the posterior capsule gives way, and a piece of the nucleus drops into the vitreous cavity. He performs a 23-gauge vitrectomy, using a Sinskey hook and vectus to remove the fragment from the anterior chamber. He finishes the cortical cleanup, uses triamcinolone to check for the presence of vitreous, and places a hydrophobic acrylic lens in the sulcus to finish the surgery.