Management of Dropped Nucleus Without Using a Fragmatome

Dr. Kamal Boucherma demonstrates a technique for manipulating a dropped nucleus without using a fragmatome. After first injecting a perfluorocarbon liquid (PFCL) bubble to protect the posterior pole, he performs a 23-gauge surgery using a vitrectome in suction mode under high vacuum to aspirate the nucleus. Finally, a 3-piece IOL is placed, and the PFCL is removed. This method prevents widening of the sclerotomy and minimizes the risk of retinal injury by avoiding handling of the inside of the vitreous cavity. In addition, surgical time is reduced.

Financial Disclosures: Dr. Kamal Boucherma discloses no financial relationships.