Abstract

Purpose: Nucleus drop is a rare and serious complication. We investigated visual outcomes following corrective surgery and compared outcomes between surgeries performed in various aetiologies.

Method: A retrospective cohort study was performed after obtaining the approval of the ethical committee. The data of patients who underwent vitrectomy for nucleus drop were collected from electronic medical records. Patients were grouped based on the following aetiologies: traumatic, iatrogenic, spontaneous, and congenital. After pars plana vitrectomy and nucleus removal, comorbidities were managed either medically or surgically. All data were collected according to a pretested format and exported to SPSS 22.

Results: Our cohort consisted of 169 eyes of 169 patients. The mean age of patients was 55.36 ± 15.7 years. Of 169 patients, 107 (63.3%) were men and 62 (33.7%) were women. Of 169 patients, 44 (26%) were classified as having traumatic nucleus drop and 125 (74%) developed spontaneous nucleus drop without trauma following cataract surgeries (Table 2). In the iatrogenic group, 33 (38.56%) patients developed nucleus drop during phacoemulsification and 59 (62.9%) following MSICS.

Conclusion: The visual outcome following corrective vitrectomy for nucleus drop may be satisfactory if managed well; no significant difference in the outcome was noted based on the aetiology.

Keywords: Nucleus Drop; Traumatic Nucleus Drop; Iatrogenic Nucleus Drop; Visual Outcome

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Citation

Citation: Mehul Shah., et al. “Comparative Study of Visual Outcomes Following Vitrectomy for Nucleus Drop Caused by Various Aetiologies”.Acta Scientific Ophthalmology 3.8 (2020): 41-47.

Copyright

Copyright: © 2020 Mehul Shah., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.