Treatment of Dropped Nucleus with a 27-Gauge Twin Duty Cycle Vitreous Cutter

Abstract

We report herein a method for the treatment of dropped nucleus during cataract surgery with a 27-gauge twin duty cycle (TDC) vitreous cutter. When a TDC vitreous cutter is used, suction flow volume is maintained even when the cutter is driven at a high speed. This enables an Emery-Little grade 3 nucleus that had been difficult to treat with a conventional 27-gauge cutter to be successfully excised using only a vitreous cutter, with no intra- or postoperative complications. A dropped lens during cataract surgery of up to moderate hardness can be removed using a TDC cutter alone with a 27-gauge cutter system.

Keywords

• Dropped nucleus
• Microincision vitreous surgery
• Complication of cataract surgery
• 27-gauge twin duty cycle vitreous cutter
• Vitrectomy