Posterior nuclear dislocation is a serious complication of cataract su
rgery, especially when using the phaco-emulsification technique, So fa
r, there have been only a few reports concerning the indications and t
iming of vitrectomy with nuclear removal as well as long-term visual o
utcome of these eyes. We analysed 23 consecutive patients (follow-up a
t least 3 months) ,vith intravitreal nuclear remnants after cataract s
urgery treated with vitrectomy and removal of posteriorly dislocated n
uclei, All the eyes had increased intraocular pressure pre-vitrectomy,
63% had corneal oedema, 67% marked uveitis and 26% either retinal tea
r or detachment. Vitrectomy was performed within 1 week in 70% of eyes
, In 14 eyes (61%) the final visual acuity was 20/40 or more. The main
reason for poor visual outcome was retinal detachment (9%), These res
ults indicate that with vitrectomy and removal of the nucleus good vis
ual results can be achieved in a large proportion of eyes with posteri
or dislocation of nuclear remnants.