Retained lens material after cataract surgery (Video)

This eye has a small piece of lens nucleus sitting in the bottom of the anterior chamber after successful phaco cataract extraction. This usually occurs when a piece of the hard nucleus gets stuck in the angle and isn’t seen in surgery because of dense arcus or corneal edema (especially sub-incisionally).

This nuclear fragment eventually absorbed without requiring an AC washout, though the eye did require a more prolonged course of steroid. The end visual result was still excellent without corneal decompensation.

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retainedlens.wmv (2.8 meg, Windows video file)

Screenshots

Retained nucleus lens
This slit-lamp photograph shows a piece of retained lens nucleus in the anterior chamber of the eye. This piece is small, and if you look closely you can see the layered nature of this cataract.
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Dr. Timothy Root is a practicing ophthalmologist and cataract surgeon in Daytona Beach, Florida. His books, video lectures, and training resources can be found at:

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