Dropped Nucleus a Complication of Femtosecond Phaco

May 4, 2012

Ophthalmology (May): Initial experience with femtosecond laser phaco resulted in two cases of dropped nucleus from hydrodissection. The surgeon concludes it is due to the very firm adherence of the capsulorhexis to the underlying lens, probably due to heat generation from the laser. To avoid this dreaded complication, one should hydrodissect  very carefully and slowly, after decompressing the anterior chamber by allowing egress of viscoelastic, and lifting the anterior capsule rim off the lens.




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