Retained Nuclei after Cataract Surgery

Barbara A. Blodi, Harry W. Flynn, Christopher F. Blodi, James C. Folk, Mark J. Daily

Research output: Contribution to journalArticle

104 Scopus citations

Abstract

The authors reviewed the medical records of 36 patients in whom the nucleus or nuclear fragments were retained in the eye after cataract surgery. In 4 patients, there was no further surgery, and visual acuity deteriorated to counting fingers or worse (mean follow-up time, 14 months). Thirty-two patients underwent vitrectomy to remove the retained, unencapsulated nuclear material. Sixty percent (6 of 10) of patients in whom vitrectomy was performed after 3 weeks had chronic glaucoma on long-term follow-up, whereas this complication developed in only 18% (4 of 22) of patients in whom vitrectomy was performed in less than 3 weeks. Sixty-three percent (21 of 32) of vitrectomy patients had final visual acuity of 20/200 or better after removal of the retained nuclear fragments. The causes of the poorest visual outcome (<20/200) included 1 or more of the following: corneal decompensation, chronic inflammation, chronic glaucoma with optic atrophy, and retinal detachment.

Original languageEnglish (US)
Pages (from-to)41-44
Number of pages4
JournalOphthalmology
Volume99
Issue number1
DOIs
StatePublished - Jan 1 1992

ASJC Scopus subject areas

  • Ophthalmology

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    Blodi, B. A., Flynn, H. W., Blodi, C. F., Folk, J. C., & Daily, M. J. (1992). Retained Nuclei after Cataract Surgery. Ophthalmology, 99(1), 41-44. https://doi.org/10.1016/S0161-6420(92)32003-2