Gm. Bohigian et Sa. Wexler, COMPLICATIONS OF RETAINED NUCLEAR FRAGMENTS IN THE ANTERIOR-CHAMBER AFTER PHACOEMULSIFICATION WITH POSTERIOR CHAMBER LENS IMPLANT, American journal of ophthalmology, 123(4), 1997, pp. 546-547
PURPOSE: We report two cases in which retained nuclear fragments in th
e anterior chamber after phacoemulsification and posterior chamber len
s implant resulted in intraocular complications. METHODS: Case reports
. RESULTS: In two eyes of two patients, retained nuclear fragments res
ulted in minimal anterior chamber reaction but substantial corneal ede
ma and reduced visual acuity. Topical anti-inflammatory medications di
d not alter the postoperative course, Improvement occurred only when t
he nuclear fragments were surgically removed. CONCLUSIONS: Retained nu
clear fragments in the anterior chamber can cause corneal edema and re
duced vision that may be reversed by removing the fragments.