Purpose: To describe a rare complication of phacoemulsification (Phaco) cataract extraction.
Observations: A phaco tip fracture occurred during the sculpting of the nucleus in a cataract extraction surgery of a 60-year-old woman. The surgeon introduced the second instrument through the side port to retrieve the broken portion of the tip while maintaining it inside the sleeve.
Conclusions And Improtance: Phaco tip fracture is a rare but serious complication that all cataract surgeons should be able to manage safely. Main risk factors for phaco tip fractures are: Aspiration Bypass System (ABS) phaco tip design and sterilization and reuse of instruments. A step by step plan of action was described in detail for a surgeon to manage a phaco tip fracture which mainly consists of removing the fractured phaco tip while it is still inside the sleeve to prevent any touch between the sharp broken edge of the tip and any intraocular component.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7944031 | PMC |
| http://dx.doi.org/10.1016/j.ajoc.2021.101051 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Drill-and-prechop technique: modification of the drill-and-crack technique for mature cataracts.
BMC Ophthalmol
November 2022
Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China.
Background: There are some techniques for disassembly of hard nuclear. It is challenging in hard cataract surgery through microincision. The classic chop or prechop techniques often do not succeed,resulting in incomplete nuclear segmentation.
View Article and Find Full Text PDFTotal Traumatic Expulsive Iridodialysis with an Orbital-Floor Fracture.
Case Rep Ophthalmol
August 2022
General Ophthalmology, Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia.
The objective of this report was to describe a case of total traumatic iridodialysis in the context of blunt trauma with an orbital-floor fracture. A 76-year-old female presented post-fall with right-eye blunt trauma. She underwent canthotomy and cantholysis due to concern of orbital compartment syndrome in a regional hospital with emergency physicians clearing dark tissue near the lateral canthus at the time of canthotomy cantholysis.
View Article and Find Full Text PDFComparing surgical efficiencies between phacoemulsification systems: a single surgeon retrospective study of 2000 eyes.
Int J Ophthalmol
April 2022
Clínica Oftalmológica del Caribe, Barranquilla 080003, Colombia.
Aim: To compare under similar conditions intraoperative surgical efficiencies metrics between an active fluidics and a gravity based phacoemulsification systems.
Methods: Adult patients who were diagnosed with a cataract that compromised visual acuity inferior to 20/40 were included in the study. Patients were excluded from the study if they had a history of severe retinal disorders, clinically significant corneal endothelial dystrophy or history of corneal disease.
Two-hole assisted phaco-chop technique: a more efficient method for safe nucleofractis vertical chopping.
Int Ophthalmol
September 2021
Department of Ophthalmology, Osaka Red Cross Hospital, 5-30 Fudegasakicho, Tennoji-ku, Osaka, 543-8555, Japan.
Purpose: To evaluate the use of the two-hole technique in augmenting the efficiency of surgeons-in-training when performing the phaco-chop technique. We hypothesized that drilling two holes in opposite angles to each other adjacent to the capsulorhexis would mimic a new lens equator. The phaco-tip and the chopper can be inserted into these holes at appropriate depths and may sandwich and fracture the lens more easily than conventional methods.
View Article and Find Full Text PDF"Phacoemulsification tip fracture and how to manage it.".
Am J Ophthalmol Case Rep
June 2021
Ophthalmology Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon.
Purpose: To describe a rare complication of phacoemulsification (Phaco) cataract extraction.
Observations: A phaco tip fracture occurred during the sculpting of the nucleus in a cataract extraction surgery of a 60-year-old woman. The surgeon introduced the second instrument through the side port to retrieve the broken portion of the tip while maintaining it inside the sleeve.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!