Dislocation of the lens nucleus into the vitreous cavity after standard hydrodissection.
OBJECTIVE
Having encountered dislocation of the lens nucleus into the vitreous cavity immediately after continuous tear capsulorhexis and hydrodissection of the nucleus, we examined common features of eyes with this complication.


METHODS
We reviewed consecutive cases of cataract extraction.


RESULTS
The complication occurred in four of 10,126 eyes. All four eyes were in elderly patients and except for the patient whose contralateral eye had pseudoexfoliation syndrome, all eyes had an increased axial length.


CONCLUSIONS
In elderly patients with eyes that have a long axial length or pseudoexfoliation, we recommend performing hydrodissection with extreme care and only when necessary.
Ota
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I
Shohzankai Medical Foundation, Miyake Eye Hospital, Nagoya, Japan.
Miyake
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S
Miyake
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K
D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000009:adverse effects*; D017889:Exfoliation Syndrome / Q000150:complications; D005123:Eye / Q000033:anatomy & histology; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D007907:Lens Nucleus, Crystalline / Q000473:pathology*; D007906:Lens Subluxation / Q000209:etiology* / Q000473:pathology; D008297:Male; D018918:Phacoemulsification / Q000009:adverse effects; D014822:Vitreous Body