Dr. Sakshi Ramnani

Fellow, Shri Bhagwan Mahavir Department of Vitreoretinal Services, Sankara Nethralaya, Chennai

1 article

Dr. Sakshi Ramnani is currently pursuing her Vitreo-Retina fellowship at Sankara Nethralaya, Chennai. She completed her MBBS from Kasturba Medical College, Manipal and earned a gold medal in MS Ophthalmology from JSS Medical College, Mysore. She has also recently cleared her DNB Ophthalmology examinations. She is a young ambitious surgeon and has received several awards and appreciation for her presentations in various conferences. She has a special interest in pediatric retina and aspires to provide comprehensive ophthalmic care with compassion. She is an avid swimmer and loves being around nature.

  1. Articles 10 Jan 2025 6 min read

    Do's and Don'ts of Managing a Nucleus Drop: A Guide for Beginners

    Managing a nucleus drop during cataract surgery is one of the most challenging and critical situations an ophthalmic surgeon may encounter. While it’s a rare occurrence, its management demands quick thinking, precise action, and a thorough understanding of both anterior and posterior segment techniques. The goals are always to preserve vision, prevent complications, and optimize the long-term outcomes for the patient. Different surveys in India have found the incidence rate of nucleus drop between 0.04-0.1%. (1,2) Dropped nucleus and cortical remnants occur most commonly in phacoemulsification, than other techniques of cataract surgery. (3) Certain conditions associated with posterior capsular or zonular weakness have a higher risk of nucleus drop in cataract surgery. These include the following (4): Pseudoexfoliation syndrome Advanced or intumescent cataract Traumatic cataract Previous intraocular surgeries like vitrectomy or glaucoma procedures Difficult situations like shallow AC, s