Descemet's tear due to injector cartridge tip deformity.
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Date
2012-05
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Abstract
Foldable intraocular lens (IOL) implantation using an injector system through 2.8-mm clear corneal incision following phacoemulsification provides excellent speedy postoperative recovery. In our reported case, a Sensar AR40e IOL (Abbott Medical Optics, USA) was loaded into Emerald C cartridge, outside the view of the operating microscope, by the first assistant. The surgeon proceeded with the IOL injection through a 2.8-mm clear corneal incision after uneventful phacoemulsification, immediately following which he noted a Descemet's tear with a rolled out flap of about 2 mm near the incision site. Gross downward beaking of the bevelled anterior end of the cartridge was subsequently noticed upon examination under the microscope. We suggest careful preoperative microscopic inspection of all instruments and devices entering the patient's eyes to ensure maximum safety to the patient.
Description
Keywords
Cartridge tip, descemet's tear, intraocular Lens, phacoemulsification
Citation
Biswas Partha, Sengupta Subhrangshu, Paul Ajoy, Kochgaway Lav, Biswas Sayantan. Descemet's tear due to injector cartridge tip deformity. Indian Journal of Ophthalmology. 2012 May; 60(3): 218-220.